Disha Narang, an endocrinologist and the director of Obesity Medicine at Northwestern Lake Forest Hospital in Illinois, told The Post compounded semaglutide is not FDA approved and we dont have any data on long-term efficacy. Furthermore, she said Eli Lilly and Novo Nordisk, the makers of diabetes drugs tirzepatide and semaglutide, are going to be coming after a lot of these manufacturers that are making compounded substances. In a press release distributed last week, Novo Nordisk cited trademark issues and safety concerns and said it is taking steps to protect US patients from the unlawful marketing and sales of non-FDA approved counterfeit and compounded semaglutide products claiming to contain semaglutide, while reinforcing the responsible use of Novo Nordisks FDA-approved medicines. Novo Nordisk has commenced the filing of legal actions in the US against certain medical spas, weight loss or wellness clinics, and compounding pharmacies to cease and desist from false advertising, trademark infringement and/or unlawful sales of non-FDA approved compounded products claiming to contain semaglutide, said the release

The Endocrine Society emphasizes that medication works best when paired with diet, exercise, and behavioral support in obesity management
Semaglutide for managing overweight and obesity TA875 Recommendations
How to help manage these symptoms Eat smaller, more frequent meals Slow down at mealtimes and chew thoroughly Limit rich, fatty, or spicy foods Stay upright for at least 30 minutes after eating If reflux is severe, persistent, or linked with chest pain, seek medical advice to rule out other causes and make sure you are properly supported