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It should explain why semaglutide is medically necessary for your specific case, reference your diagnosis codes and comorbidities, cite the clinical trial evidence (STEP 1 showed 14.9% mean weight loss, NEJM 2021

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A lot of serious low-carb dieters were already skeptical of heavily processed keto products, especially ones built around sugar alcohols and fiber math

This will undoubtedly be another bump in the number of retractions as Wiley struggle to sniff out all of the faked content (Flynn, 2023)