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Whilst there was a reduction in systolic and diastolic blood pressure in all groups, this was only significant from baseline in the group who received the standard triple therapy and broccoli sprout powder combination (14 and 9.4 mmHg reduction in systolic and diastolic blood pressure, respectively) (Mirmiran et al., 2014)

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In practice, enforcement varies dramatically

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Semaglutide and tirzepatide are prescription-only medications in the U.S., so any website selling them "no prescription required" is operating outside the law, and outside the safety checks that protect you