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They have been unable to obtain brand-name Mounjaro or Zepbound due to insurance denial, supply issues, or cost prohibitions

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While these effects are beneficial in specific contexts such as treating growth hormone deficiency in children, muscle wasting conditions, or severe catabolism, they create unwanted consequences when the goal is simply fat reduction

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For example, Crohn's disease, pancreatic disease, diabetes, and heartburn medication, which reduces stomach acid