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A provider has pointed out, The biggest challenge is deciding whether to prescribe medication for patients with BMI near the 30% cutoff, as small variations in weight can significantly impact eligibility. Ethical dilemmas arise when patient expectations are set too high, balancing clinical appropriateness with patient expectations when data foundations are not trustworthy

And you shouldnt have to travel it through trial and error with unregulated products

doi: 10.1016/0306-4522(94)00355-9

Tadrous says that while India is a major supplier of pharmaceuticals and ingredients to Canada and often gets generics first, all of those drugs still have to go through Health Canada's approval process before they can be sold here

[DOI] [PMC free article] [PubMed] [Google Scholar] 96.Hoffman S., Alvares D., Adeli K

doi: 10.1074/jbc.M500540200 [DOI] [PubMed] [Google Scholar] 115