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It is important to note that the weight loss benefits observed in clinical trials came in conjunction with diet and exercise regimes

[PubMed: 11701705] 465

Hruby, PhD Regents Professor Emeritus, Department of Chemistry and Biochemistry, University of Arizona Landmark Publications Sawyer TK, Sanfilippo PJ, Hruby VJ, Engel MH, Heward CB, Burnett JB, Hadley ME

She adds that a rapid reduction in blood glucose levels, which is the goal of these drugs, may put these patients at higher risk

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If this is the case in your letter, please ask them to provide you with this evidence