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See FDAs press release FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize. Under current FDA guidance, a compounded drug cannot be essentially a copy of an approved drug, unless it meets an exemption (e.g., appearing on the drug shortage list)

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A plateau is a biological signal for a protocol adjustment

If blood sugar management is a priority alongside weight loss, tirzepatide offers advantages on both fronts