It happens across medicine, not just in weight management
Qu D, Ludwig DS, Gammeltoft S, Piper M, Pelleymounter MA, Cullen MJ, et al
It could cause fluctuations in your energy levels

Lip Sleeping Mask in 'Mango' (3g): Diisostearyl Malate, Hydrogenated Polyisobutene, Phytosteryl/ Isostearyl/Cetyl/Stearyl/Behenyl Dimer Dilinoleate, Polybutene, Hydrogenated Poly(C6-14 Olefin), Microcrystalline Wax/Cera Microcristallina/Cire Microcristalline, Butyrospermum Parkii (Shea) Butter, Synthetic Wax, Ethylene/Propylene/Styrene Copolymer, Sucrose Tetrastearate Triacetate, Mica, Euphorbia Cerifera (Candelilla) Wax/Euphorbia Cerifera Cera/Cire De Candelilla, Fragrance/Parfum, Candelilla Wax Esters, Astrocaryum Murumuru Seed Butter, Glyceryl Caprylate, Polyglyceryl-2 Triisostearate, Iron Oxides (Ci 77492), Titanium Dioxide (Ci 77891), Butylene/Ethylene/Styrene Copolymer, Copernicia Cerifera (Carnauba) Wax/Copernicia Cerifera Cera/Cire De Carnauba, Polyglyceryl-2 Diisostearate, Methicone, Yellow 5 Lake (Ci 19140), Cocos Nucifera (Coconut) Oil, Pentaerythrityl Tetra-Di-T-Butyl Hydroxyhydrocinnamate, Ascorbic Acid, Limonene, Triethoxycaprylylsilane, Water/Aqua/Eau, Glycerin, Propanediol, Bht, Punica Granatum Fruit Juice, Rubus Idaeus (Raspberry) Juice, Vitis Vinifera (Grape) Juice

Industry petitions exist but none is at a stage that would change the legal shape of 503B compounding in the near term
If nausea becomes unmanageable, your doctor can slow the escalation schedule or adjust the formulation