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Compounded semaglutide introduces additional maintenance considerations

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Japan requires advance notification for certain medications and may require you to apply for an import certificate called a Yakkan Shoumei before arrival

Primarily those with inflammatory bowel disease and pancreatitis, or a personal or family history of multiple encocrine neoplasia 2A/2B, or medullary thyroid cancer

They are made based on a personalized prescription that may not be commercially available elsewhere or when a drug appears on the FDAs shortage list