Alternative pharmacological options include phentermine-topiramate (Qsymia) and naltrexone-bupropion (Contrave), though these also carry cardiac considerations
Wegovy: This injectable formulation is designed for chronic weight management and is available in doses up to 2.4 mg
At higher supplemental doses (500 to 3000 mg daily), niacinamide can cause nausea, liver enzyme elevation, or glucose intolerance, but these effects are unlikely at the low doses used in compounded formulations
Read that list as a set of research directions, not promises
This is an interesting study by an excellent group of researchers
If you are taking oral semaglutide alongside oral HRT, both medications are competing for absorption in a slowed digestive system