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The published data shows meaningful but modest fat loss in clinical conditions, approximately 1 to 2 kg of additional fat loss over 12 weeks compared to placebo at 1 mg/day

How Peptides for Weight Loss Are Injected and Delivered When injecting weight-loss peptides, clinicians typically start with subcutaneous dosing protocols

10.1074/jbc.R113.462929 J Biol Chem

In fact, the medication may have indirect positive effects on fertility, particularly in individuals with type 2 diabetes or those who are overweight or obese, by improving blood sugar control and supporting weight loss

If the sagging skin is causing actual functional problems like chafing, then you may want to see your doctor to first explore non-invasive options