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According to the New England Journal of Medicine, these findings represent one of the most significant advances in obesity pharmacotherapy to date

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When azithromycin was co-administered with metronidazole in these studies, a higher proportion of women experienced side effects of nausea (10.3%), abdominal pain (3.7%), vomiting (2.8%), application site reaction, stomatitis, dizziness, or dyspnea (all at 1.9%)

While individual results vary, many users report initial benefits -such as reduced appetite, improved digestion, and fewer cravings-within the first few days to 2 weeks