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"Further, while we acknowledge the corrective and preventive actions that your site has taken or plans to take, your written response is inadequate because it does not provide sufficient details about how you, as a clinical investigator, will ensure adequate oversight of the study procedures (for example, adherence to eligibility requirements)

Diet and exercise plan has been in re-composition mode for the last 4 months, lean gains while burning excess fat has not been easy, but results have been real

Sustainable weight loss typically comes from combining medication with lifestyle changes and ongoing support

These results may help provide context for how your individual genetic background relates to GLP-1 pathway sensitivity and therapeutic response, supporting more informed conversations with your provider about personalized dosing strategies