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Another study [103] in 336 healthy adults, (161 blacks, 175 whites) found a positive relationship between selenium levels and selenium supplementation

Elnayal A, Moran CA, Fox PS, Mawlawi O, Swisher SG , Marom EM

They are an adjunct that supports energy and metabolism alongside a supervised weight-loss program, such as our Weight Loss Program, Thinnr, or the Phentermine Program, and we are direct with every patient about that distinction rather than marketing the injection as a standalone fix

doi:10.1016/j.jnutbio.2013.03.001

This ongoing need can be viewed as a drawback (no one-and-done solution), but many patients are willing to do maintenance therapy given the relief it provides