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Some VivioMD marketing pages use guarantee-oriented language - one states the company is confident enough in its program to "guarantee you'll lose weight or your money back." The current, publicly posted Refund Policy - last updated June 15, 2026, and reconfirmed live for this article - states something different and more specific: "There is no guarantee of results or effectiveness of any treatment or care plan provided to you as part of your participation or use of the Subscription Services." An earlier, separate 2026 review of the brand described a specific refund structure tied to losing 10% of body weight over 24 consecutive weeks

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And it's more affordable

On the other hand, Novo Nordisk has already submitted its oral weight loss pill to the FDA for approval, with results expected by the end of this year

Tirzepatide as monotherapy improved markers of beta-cell function and insulin sensitivity in type 2 diabetes (SURPASS-1)