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If you're uncertain which formula you have, the pharmacy's compounding sheet (often included with the medication or available in your patient portal) lists every ingredient by milligram amount

Quality assurance : Manufactured under strict quality control measures to guarantee sterility and safety

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Avoiding doctor visits or skipping follow-ups Being secretive about eating habits with providers, friends, or family members Hair loss or other signs of malnutrition Obsessive thoughts about food, weight, or exercise Persistent fatigue or low energy If youre experiencing any of the above changes, reach out to your doctor or an expert in eating disorders before you go too far down the wrong path

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The compounded version is not FDA-approved as a finished product, though the active pharmaceutical ingredients used in compounding must meet USP quality standards