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Theyre often sold as part of a suite of anti-ageing or weight-loss therapies and treatments, some of which are reasonably sketchy, Putland said

What makes the evidence compelling for legal purposes is the consistency across multiple independent studies, the dose-response relationship (higher risk with longer use), and the fact that non-diabetic users taking the drugs solely for fat loss show the highest risk increase

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GUO: It's really hard to track how big this parallel industry has become, like, how many Americans are taking these drugs because now most sales aren't going through health insurance