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237-239 In a randomized placebo-controlled trial that included 80 participants with obesity, 450 mg gynostemma extract per day for 12 weeks resulted in decreased body weight, total abdominal fat area, body fat mass, percent body fat, and BMI

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Access requires GP referral to specialist diabetes services or assessment by GPs with enhanced training, with treatment reviewed at six months to confirm metabolic benefit

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This is expected and does not necessarily indicate a problem, but monitoring during the transition is important

Your care team can help you adjust your treatment plan, explore alternative compounds like tirzepatide, or investigate whether genetic factors (revealed by the Precision Peptide Genetic Test) suggest a different peptide protocol might work better for your physiology