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A study that compared 24 obese patients with MC-4R deficiency to 80 healthy controls (40 obese and 40 lean) found that those with MC-4R mutations consumed significantly more high-fat meals

It takes time for changes in your internal chemistry to show up in the mirror

Ipamorelin brings extra pulse frequency and selectivity, while CJC-1295 No DAC increases GH pulse amplitude and duration

But to answer your question directly, the concern about getting medication without seeing a clinician or having more comprehensive care is: one, the medication is not teaching you anything about healthy living, how to be physically active, which is also important