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Note - " The active ingredients used, semaglutide and tirzepatide, are the same active ingredients found in several FDA-approved products, but the compounded formulations themselves have not been reviewed by the FDA for safety, effectiveness, or manufacturing quality." On the Direct Meds platform specifically: The service has built a strong track record as an access pathway with over 180,000 customers served, a 4.8/5 rating on Trustpilot, and LegitScript certification confirming operational standards

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