Finally, individuals with a history of heart failure, ischaemic heart disease, unstable angina, myocardial infarction, aortic aneurysm or dissection, stroke (ischaemic or haemorrhagic stroke), cerebral infarction, transient ischaemic attack, carotid intervention or surgery, coronary stenting, percutaneous coronary intervention (PCI) or coronary artery bypass before inclusion to the cohort or prior to the index event were also excluded
What I do know is that these companies (Join Piper and the like) cannot legally prescribe compound medications without using licensed medical doctors and approved pharmacies, so I truly dont think theyre doing anything shady here
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They provide soluble fiber that binds water, increases volume in the stomach, and can thus improve the feeling of fullness