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Manufacturers demonstrating bioequivalence in a single Phase 3 trial (rather than the traditional two trials) can achieve interchangeable status, allowing pharmacy-level substitution without prescriber intervention
The most common additive is vitamin B12, which turns the solution pink
Braz J Pharm Sci
While GLP-1 medications dont directly deplete nutrients, people eating less may develop low or borderline levels, particularly: Vitamin B12 (especially if also taking metformin) Vitamin D Iron (especially in menstruating women) These labs arent required for everyone
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