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The FDA started running out of patience quickly

These facilities are regulated primarily by state boards of pharmacy rather than the FDA

The FDA has documented adverse-event reports involving compounded semaglutide and tirzepatide, including dosing errors, gastrointestinal events requiring medical attention, and cases where cold-chain failures affected medication stability during shipping

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Gastroparesis occurs when the stomach muscles do not move food normally through the digestive tract, which can cause nausea, vomiting, bloating, abdominal pain, early fullness, and difficulty keeping food down