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If the appearance has changed, do not use the medication and contact your compounding pharmacy immediately

Be wary of compounds from unregulated pharmacies While the FDA has banned compounding pharmacies from making certain peptides, there are other pharmaciesdubbed unregulated pharmaciesthat are not regulated by the government

Typically, FDA-approved uses such as type 2 diabetes are more likely to be covered than off-label uses like weight loss

Vallianou et al., 2019

Pre-existing diabetes with autonomic neuropathy is another major risk factor, as diabetic neuropathy already compromises gastric nerve function

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