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One downside was the overwhelming exhaustion I felt by the end of each day

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It dramatically reduces appetite, which means you must be intentional about what you eat when you do eat

When evaluating a provider, look for clear disclosure that compounded medications are not FDA-approved, identification of the actual licensed compounding pharmacy partner, LegitScript or similar third-party certification, and no use of phrases like "same active ingredient as Wegovy" without proper qualification