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fraud/omission and misrepresentation claims may proceed when tied to the FDA-approved labels or consumer weight-loss messaging, but theories based on vague extra-label communications and several other counts were dismissed with leave to amend (including UPL/PLA buckets, general negligence, and medical monitoring)

The issue is caloric density how many calories are packed into a small volume of food
doi: 10.1210/er.2006-0043 3 EligarVTaylorPNOkosiemeOELeeseGPDayanCM

The overall increase in LDL-C due to obesity is typically modest, thought to be tempered by expanding adipose tissue capacity to store cholesterol [10, 14]
If you escalate after two weeks, you have not experienced the full effect of the lower dose