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There is no evidence suggesting a direct effect of Ozempic use on hair health or that the hair loss is permanent

The initial muscle loss seen with GLP-1 RA treatment as well as the ongoing replacement of muscle with fat with treatment cycles involving treatment interruptions can result in unfavorable changes in body composition in patients with obesity that can have profoundly negative repercussions, and can exacerbate obesity-related metabolic and health concerns 1416

If you use 0.25mg per week, that vial lasts 40 weeks, nearly 10 months

Phentermine is a stimulant that increases norepinephrine and dopamine, which can actually increase libido in some women, at least temporarily