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Now that the shortage is over, though, the FDA has withdrawn that approval

doi:10.1111/jcpt.13233 [7] Jia X, Zhai T, Qu C, et al

It's your immune system's overreaction

There has also been increasing demand for its weight loss counterpart, Wegovy so much that Novo Nordisk announced earlier this month it will be limiting the availability of some starter doses

Negative points: 0/55 Energy 0/10 points (35kJ) Energy intakes above energy requirements are associated with increased risks of weight gain, overweight, obesity, and consequently risk of diet-related chronic diseases

You simply need more metabolic stimulus to push past the adaptation your body has made