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Look for third-party testing showing greater than 98% purity, preferably 99% or higher

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The STEP 4 trial showed participants regained approximately two-thirds of their lost weight within one year of discontinuation

doi:10.1056/NEJMoa030656

However, In October 2010, the FDA did not approve Qnexa and requested more evidence that the elevated heart rate does not increase cardiovascular risk

Front Plant Sci 7:1950 Pratap A, Somta P, Smkal P, Gupta S (2023) Genetics of domestication and diversification towards evolution of crop plants