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GLP-1 medications work by reducing appetite and blood sugar, and fatigue during this transition does not indicate that weight loss or metabolic benefits are not occurring
Empower Pharmacy in Houston, TX, is the most regulatorily troubled of the group, with FDA warning letters in May 2017, October 2021, and April 2025, plus a fresh Form 483 issued November 14, 2025
Maintenance doses (4mg weekly) cost approximately $3,600-6,000 annually versus $12,000+ for retail pharmaceuticals
Other considerations include gastroesophageal reflux disease (GERD), anxiety disorders, and idiopathic hyperhidrosis (excessive sweating without identifiable cause)
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