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See More Kristina Dino, MSN, FNP-C, PMHNP-BC Kristina is a dual board-certified Nurse Practitioner specializing in medical weight loss, aesthetic medicine, and wellness optimization

At the starting dose, realistic first-month losses typically fall between 2 and 6 pounds total, depending on starting weight, dietary changes, and individual metabolism

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These are anecdotal, but the pattern is consistent with complaints filed against other 503A compounders operating at high volume during the GLP-1 demand surge of 2023 to 2025