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The goal is gentle mixing, not a cocktail shaker
Essentially, the toxin was less effective and the effects wore off quicker in Botox patients on GLP-1 weight loss medications
A 2025 meta-analysis of randomized controlled trials found significant blood pressure effects (PMID: 41000008), and a separate meta-analysis focused on individuals with insulin resistance and chronic diseases found similar patterns (PMID: 28724644)
Subsequent real-world data has reproduced these outcomes outside of trial conditions
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