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These changes are largely the result of : - Rapid weight loss - Significant loss of muscle and connective tissue - Reduced structural support under the skin The Result : - Sagging facial skin - Sunken cheeks - Flattened or loose gluteal tissue - Accelerated appearance of aging This is not simply fat loss it is loss of tissue integrity, which becomes more noticeable when muscle mass is stripped away

There is no information about lab requirements or a dose titration schedule, so its important to ask about their specific protocols before the first dose

Two states and a handful of plans is not a representative national picture but its the most we currently have