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Those kind of counterfeit operations that are being conflated with legitimate compounding are hurting the image of compounding, even though we have all sorts of standards that we have to operate under. Brunner acknowledged the FDAs concerns regarding overdosing of compounded semaglutide and tirzepatide but said that specific warning did not mention drug contamination

Your prescriber submits a prior authorization form documenting your BMI (30+ or 27+ with comorbidity), completion of a 90-day supervised lifestyle intervention, and trial or contraindication to step therapy medications