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Who may be affected: Telehealth companies, health care facilities, medical spas, and other entities that have been integral to increasing patient access to GLP-1 agonists through compounding should take heed of the apparent heightened concern FDA is now messaging to the public

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Zhang Z, Zhang Q, Tan Y, et al

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The loss of enterohepatic recirculation would definitely cause an additional loss of 5mcg of B12 that is not recovered from bile

Injectable GLP-1 Medications The established injectable options are semaglutide (Ozempic for type 2 diabetes, Wegovy for weight loss) and tirzepatide (Mounjaro for type 2 diabetes, Zepbound for weight loss), both given as once-weekly subcutaneous injections