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However, experts such as Lydia Alexander, MD, president of the Obesity Medicine Association (OMA) and Chief Medical Officer at Enara, argue that the risks of compounded peptide medications make them a dangerous alternative to approved GLP-1 drugs as they are often produced and sold illegally by unlicensed pharmacies and "bootleggers" taking advantage of drug shortages, potentially containing unknown or dangerous ingredients that could be ineffective or actively harmful to patients

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[DOI] [PMC free article] [PubMed] [Google Scholar] 23.Mozaffarian D

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