For some of the drugs, we know the biochemistry is not the same. (Theres also a legal battle going on between brand-name drug makerswhose patents havent expired yetand the compounders and telehealth companies selling their own versions
Key adjustments at this phase: Reduce portion sizes by 20% to 30% across all meals Add a sixth small meal if you cannot finish larger ones Move heavy carbohydrates to earlier in the day when digestion is strongest Switch to softer, easier-to-digest proteins (fish, eggs, Greek yogurt) on dose increase days Keep hydration consistent at 8 to 10 glasses per day, sipped throughout rather than gulped at meals Phase 3: therapeutic doses (10mg, 12.5mg, 15mg, weeks 13+) At higher doses, some people find eating enough to be the challenge, not eating too little
Second, additional mechanism means additional complexity
They convene in the hypothalamus, the area of the brain thats been shown to control appetite, to determine if youre hungry or full (satiated)
Our facility is ISO9001 and ISO13485 certified, and is operating according to ICH Q7A guidelines to produce products for pharmaceutical companies
Oral versions from the major manufacturers are still available and not tied to the same compounding scrutiny