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It also may be in response to, among other things, a letter sent to FDA on July 25, 2025 by a bi-partisan group of 81 legislators asking the FDA to respond to a surge in illegal and counterfeit anti-obesity medications (AOMs), which include semaglutide and tirzepatide, entering the United States from unregistered foreign entities. Going forward, compounders and other affected stakeholders must ensure that their API is sourced from FDA-approved manufacturers listed on the Green List and ensure compliance with Import Alert 66-80
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In certain situations, L-carnitine supplementation has been linked with improved exercise performance and recovery, likely by supporting energy availability during activity
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