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Lindsey Landers, an advanced practice nurse in Kentucky, stopped prescribing compounded GLP-1s from a licensed pharmacy after an August 2025 cease and desist from a drug manufacturer

Additionally, we also observed a notable downregulation of several key genes involved in macrophage migration and immune response, including Il6 , Ccl2 , Ccl5 , Cxcl2 , Rap1a , and Rap1b 62,63