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During the randomized treatment period, patients received a standard lifestyle instruction every 12 weeks on reduced-calorie diet (approximately 500 kcal/day deficit) and increased physical activity (recommended minimum of 150 min/week) that began with the first dose of ZEPBOUND or placebo and continued throughout the 72-week treatment period

2 mg injected is not remotely the same as 2 mg rubbed on the face

Lipotropic combinations are unlicensed in the UK and must be supplied as MHRA-regulated 'specials' on prescription