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The article explicitly notes the NPPA temporarily allowed remote diagnostics instead

How Foundayo Weight Loss Results Compare With the Wegovy Pill By the end of the study, people on the highest dose lost an average of about 27 pounds (12.4 percent of their starting body weight), compared with average weight loss of just 2.2 pounds with the placebo

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thus, there is a smaller window for weight loss, as body weight defence mechanisms have a greater role in lean mice, potentially confounding the absence of treatment effects