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The active ingredient is the same as in FDA-approved Wegovy and Ozempic, but the FDA notes that compounded products do not undergo premarket review and may vary in manufacturing oversight, storage, and quality control across pharmacies
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About 15 to 20 percent of patients in the STEP 4 placebo group maintained over half their weight loss at 1 year, which suggests behavioral factors and possibly metabolic adaptation differences
J Funct Foods 95:105155
adding alcohol on the same day significantly increases GI distress and dehydration risk
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