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There's also an active federal rulemaking worth understanding if you're weighing a compounded GLP-1 program in mid-2026: April 30, 2026 - FDA proposed excluding semaglutide, tirzepatide, and liraglutide from the list of bulk drug substances that large-scale 503B outsourcing facilities may use to compound medications outside a declared drug shortage May 1, 2026 - proposal published in the Federal Register (91 Fed

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10.1016/j.bcp.2017.06.112 86 QinJ.LiR.MaH.DingP.YangQ.HuL.et al (2023)

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The connection between delayed gastric emptying and altered intestinal movement highlights that these symptoms are not unexpected complications but rather a known part of how the therapy functions