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What are the impacts on the wider economy of a drug that is nearly as effective as bariatric surgery and acts via, primarily, appetite reduction

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TL;DR Peptides are short chains of amino acids being marketed for knee inflammation and post-surgical recovery, with mixed evidence behind the claims

Anna Mapp, a chemist at the University of Michigan and president of the American Peptide Society, reviewed his work and put it bluntly: "There was no demonstration that I could tell that it was a single pure isolated substance" [17][18][19]