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In practice, enforcement varies dramatically
Further, Groupon's target audience is extremely price sensitive US consumers and my research shows that the behavior that Groupon promotes is consumers signing up for multiple introductory offers for 4 to 6 week semaglutide/GLP-1 trials and then stockpiling these discounted compounded medications trial offers instead of sticking with one provider
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While tirzepatide has yet to demonstrate direct cardiovascular risk outcomes in patients without type 2 diabetes, tirzepatide-treated groups did demonstrate reductions in cardiometabolic variables resulting in a significantly lower 10-year predicted ASCVD risk in patients with overweight or obesity without type 2 diabetes in post hoc analysis of the SURMOUNT-1 trial [49]
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