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Compounded medications are not reviewed by the FDA for safety, effectiveness, or quality before marketing

Su, W.-C., Mutersbaugh, J., Huang, W.-L., Bhat, A

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He closely monitors each patients response to the medication, ensuring that the initial dose is well-tolerated and that any potential side effects, such as nausea or abdominal discomfort, are minimized

This variability is why some users report no burning at all while others notice mild to moderate sensations during their first few weeks of semaglutide therapy