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FDA-approved options for chronic weight management include: Other GLP-1 receptor agonists (semaglutide, liraglutide) Combination therapies (phentermine-topiramate ER, naltrexone-bupropion ER) Orlistat Metformin for patients with diabetes or prediabetes, which provides modest weight-neutral or weight-loss effects Realistic expectations are essential

7 This risk of regain is why Second Natures programme focuses on building lasting habits alongside medication, to support long-term weight-loss maintenance

Location: Evolutions Medical & Day Spa, 350 Chapala St, Ste 103, Santa Barbara, CA Includes: Refreshments, a raffle, and exclusive specials for attendees Seating is limited, so we encourage guests to RSVP early by coming into the spa or calling us at 805-687-0212.

This strategy may help you control hunger, lose weight more consistently, and feel better overall when done safely and with expert support

Important to understand: Compounded GLP-1 medications are not FDA-approved products and dont go through the same pre-market testing, consistency checks, or safety review as brand-name drugs

in consistency with Steinberg et al