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Those are prefilled injection pens manufactured by Novo Nordisk with fixed concentrations and pre-measured doses built into the delivery device

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(PubMed) Zeng T, Zhang CL, Zhao XL, Xie KQ

That combination is why so many people who focus on performance and overall wellness gravitate toward it

The main concerns include additive gastrointestinal effects (nausea, vomiting, diarrhoea), cognitive side effects from topiramate (difficulty concentrating, memory problems), and potential for excessive weight loss

Suitable candidates typically include adults with a Body Mass Index (BMI) of 30 kg/m or higher, indicating obesity, or those with a BMI of at least 27 kg/m and weight-related health conditions, such as elevated cholesterol levels, hypertension, or type 2 diabetes