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Common causes include inadequate caloric deficit despite appetite suppression, insufficient protein intake leading to muscle loss, fluid retention masking fat loss, or the need for dose escalation

In a statement issued Monday, Lilly spokesman Jared Shapiro told NBC News that all doses of Mounjaro and Zepbound are available, warning that its important that patients not be exposed to the risks in taking untested, unapproved knockoffs. Nothing changes the fact that, as FDA has recognized, Mounjaro and Zepbound are available and the shortage remains resolved, Shapiro added

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Between-study heterogeneity was moderate (Q = 13.12, p = 0.157