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Whats different here is that a growing number of people are intentionally staying at sub-therapeutic doses long-term, rather than using low doses as a stepping stone to higher ones

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Some fraction may eventually reach your skin via the bloodstream, but you're also delivering it to every other tissue in your body

Additionally, metabolic improvements including reduced hemoglobin A1c (1.6-2.0 percentage point reductions in SURMOUNT-2), improved lipid profiles, and decreased blood pressure accompanied the weight loss, suggesting comprehensive metabolic benefits

The peptide is not listed as a controlled substance, meaning possession itself is not criminalized in the way that scheduled drugs would be