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(PubMed) Stephenson CM, Levin RD, Spector T, Lis CG

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The article says true weight gain is rare but lists three situations where it happens: a level of medication that is below therapeutic, lapses in adherence, or dietary changes large enough to offset appetite suppression

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The same compound delivered topically through a serum, applied with microneedling, injected directly into the scalp, or injected subcutaneously into the abdomen will produce very different biological effects