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patients seeking cross-border GLP-1 access found (Kesselheim et al., JAMA Health Forum, 2024): 23% attempted to order from a Canadian online pharmacy (87% of orders were either seized at customs, never delivered, or delivered a product that was clearly counterfeit) 12% traveled to a border city and attempted to fill a prescription (91% were turned away because they lacked a valid Canadian prescription) 8% used a "facilitator" service claiming to connect them with Canadian prescribers (62% received no product, 31% received a product of uncertain origin, 7% received what appeared to be legitimate medication) The risk-benefit calculus is unfavorable

Gynaecol Perinatol (2018) 27(3-4):702

Food stays in the stomach longer, you feel full sooner, and you eat less