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Direct Meds states that its compounded formulations use these same active ingredients

It is not yet FDA approved, but Phase 3 data from the TRIUMPH-4 trial (December 2025) showed an average of 28.7% body weight loss at 68 weeks at the 12 mg dose the highest ever recorded in a pharmacological weight loss trial

Stacking these agents would likely intensify nausea, vomiting, constipation, and dehydration without meaningfully accelerating weight loss beyond what either drug achieves alone

BelloBella smaller operation potentially offers more continuity of care, though this should be confirmed during your initial consultation

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