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253 Quan et al

Americans have been spending as much as 540% more for Zepbound and 1,400% more for Wegovy than patients in Europe for the exact same box

Berberine, Akkermansia, and probiotics get slapped with "GLP-1" labels but deliver mild natural support, not Ozempic-level resultscue reviews like "no change after 30 days." Hundreds of listings now hover at 2-3 stars as the hype-expectation gap widens

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World Health Organization (2021)