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The patient solicited GLP-1 RA prescriptions from 49 websites (17 sold compounded only, 5 sold branded only, and 27 sold both), of which 45 (91.8%) prescribed and 34 (69.4%) mailed the medication This secret shopper study found that online GLP-1 RA prescription vendors often did not require clinician interaction, relying primarily on patient-reported questionnaires Several findings suggest limited oversight: multiple GLP-1 RA prescriptions from the same clinicians, prescriptions issued despite missing required photos, and prescriptions issued within 5 minutes or less

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