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Among brand fills, two patterns hold across most provinces: Costco Pharmacy consistently posts the lowest in-store cash price (no warehouse membership required for pharmacy use in Canada under provincial pharmacy law), and licensed online pharmacies like PocketPills undercut chain pharmacies by $20 to $40 per month through lower dispensing fees and direct shipping

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[10] [14] Common adverse effects include gastrointestinal symptoms such as nausea, vomiting, diarrhea, and constipation, which are generally mild to moderate and diminish over time

14.9%) through its dual GLP-1/GIP mechanism