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You need to actually follow the program for 16 weeks, not have used competing medications, and actively verify your weight through documentation

L., & Cone, R

The effectiveness of tirzepatide for treating obesity is being evaluated in the SURMOUNT series of phase 3 RCTs, which, for the first time, demonstrated average weight reductions exceeding 20% with pharmacotherapy [23]

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One crucial aspect to consider is that Rybelsus allows individuals to take it at their preferred time without being constrained by whether or not they have eaten