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Each package goes through strict quality control that meets both European and American pharmacopoeia standards

[18] The SURMOUNT-3 and SURMOUNT-4 trials extended those findings to intensive lifestyle pre-treatment and long-term maintenance, respectively

[PubMed | ClinicalTrials.gov | DOI] Wadden TA, Chao AM, Engel S, et al

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The medication should be stored in a refrigerator between 2C and 8C before first use