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However, compounders that are not registered with FDA as outsourcing facilities are primarily overseen by state regulators and are not required under federal law to report adverse events to FDA

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Insufficient protein during rapid weight loss leads to muscle wasting, which worsens fatigue, reduces metabolic rate, and produces the "skinny fat" outcome nobody wants

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The slowed gastric emptying that helps with appetite control also means food sits in the stomach longer than usual, contributing to these symptoms