patients seeking cross-border GLP-1 access found (Kesselheim et al., JAMA Health Forum, 2024): 23% attempted to order from a Canadian online pharmacy (87% of orders were either seized at customs, never delivered, or delivered a product that was clearly counterfeit) 12% traveled to a border city and attempted to fill a prescription (91% were turned away because they lacked a valid Canadian prescription) 8% used a "facilitator" service claiming to connect them with Canadian prescribers (62% received no product, 31% received a product of uncertain origin, 7% received what appeared to be legitimate medication) The risk-benefit calculus is unfavorable
Symptoms include severe upper abdominal pain, back pain radiating to the left shoulder, and elevated pancreatic enzymes (amylase, lipase) on blood work
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I didn't even think about that as being the root cause behind of all this
Another common concern is the potential for muscle mass loss, often referred to as "Ozempic face." This notion is misleading
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