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If you have a gastric band or gastric sleeve, you can wear vitamin patches as injection alternatives

Gently pinch up a small fold of skin (this pinch helps ensure the insulin goes into subcutaneous tissue, not muscle)

Constipation is less dose-dependent and can persist, making it a more durable reason for discontinuation in patient reports

Start Low and Go Slow : If you decide to combine these supplements, start with lower doses to monitor how your body responds

2024;38 Suppl 3:3-11

Some approved drugs for obesity have demonstrated placebo-subtracted weight reductions ranging from 2.9% to 6.32% over at least 12 months