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West Virginia 24% Kentucky 22% Louisiana 20% Oklahoma 20% Alabama 19% Mississippi 19% North Dakota 18% Alaska 17% Arkansas 17% Pennsylvania 17% Iowa 16.5% Michigan 16% Ohio 14.5% Georgia 15% Kansas 15% Tennessee 15% Texas 15% The highest GLP-1 usage rates were concentrated in the South, Midwest and Appalachia, likely due to their higher obesity and diabetes rates

doi: 10.1016/s0167-5699(99)01486-3 33 MeierJJNauckMAKranzDHolstJJDeaconCFGaecklerDet al

But with increased demand has come an increase in unregulated sellers, counterfeit products, and unsafe practices

but I think this might be a medical breakthrough for these patients

Real mood and anxiety improvement usually kicks in around weeks 4-6

The calorie goal stays the same, but the delivery method adapts to what your GI system tolerates