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Theres not enough medication being made. The US Food and Drug Administration (FDA) classifies semaglutide and tirzepatide - the compound used by Eli Lilly in its drugs Mounjaro and Zepbound - as currently in shortage. The designation means some restrictions may be lifted, allowing the compounding of drugs that are essentially copies of approved drugs, the FDA says

Your healthcare provider will likely recommend seeing an eye doctor or specialist for a thorough examination

While it is unclear how widespread the practice is, internet forums including Reddit have numerous examples of people reporting that they have been injecting themselves with such DIY preparations

It is recommended that you inject the medication into your thigh, abdomen, or upper arm and to use different injection sites each time

Combine regular physical activity including both resistance training (23 days per week) and aerobic exercise (150+ minutes per week) to reinforce metabolic adaptations and improve body composition