The combination might simply be adding cardiovascular risk without proportional weight loss improvement
Limit high-fat and greasy foods (fried items, fatty meats, cream-based sauces), spicy foods, large portions, and carbonated beverages, especially during initial treatment and after dose increases, as these can worsen nausea, bloating, and gastrointestinal discomfort caused by delayed gastric emptying
Obesity and weight management for the prevention and treatment of type 2 diabetes: standards of care in diabetes-2023
Better labs and better digestion
This is very different from using an unregulated product obtained outside a clinical trial
Can GLP-1 medications impact substance use