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Absolutely devastating, says Tennessee-based Gianna Green, who has taken the drug for only a short time but calls its effects completely life-changing. Green belongs to a group of likely millions of people who have been taking a compounded version of tirzepatide

However, topiramate is currently used in combination with phentermine as an FDA-approved therapy for weight loss

The before-and-after documentation that many users share started as exactly this kind of weekly tracking, accumulated over months into a visible transformation story

This distinguishes them from the FDA-approved branded versions of these drug classes

Your body still needs consistent fuel to keep losing weight, even when your appetite says otherwise