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Mild pain at the injection site has also been reported

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The FDA could view the wide-scale manufacturing of custom medications as taking advantage of loopholes that ought to be closed: I suspect the FDA never contemplated that [its guidance] would be applied the way it's being applied, given the scale of the compounded GLP-1 phenomenon, he says

This approach allows patients to monitor their initial response to the medication, particularly any gastrointestinal side effects such as nausea or diarrhoea, without the added stress of work obligations or important social events