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Novo has sent cease and desist letters and filed lawsuits against small clinics, medical spas, and compounding pharmacies, alleging false advertising and trademark infringement

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The company does conduct third-party tests for quality, purity, and consistency, but it's unclear whether they're done on raw materials, finished products, or both

According to Leverage, a research platform funded by the Robert Wood Johnson Foundation, at least 15 states included anti-obesity drugs in their employee health plans in 2025, while nearly half the states limited coverage of GLP-1s

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Rodrigues KL et al