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Tirzepatide came off the FDAs official drug shortage list in December 2024, and semaglutide followed in February 2025, eliminating the legal pathway that allowed compounding pharmacies to produce copies of the drugs

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[4] Malaguarnera M, Vacante M, Giordano M, et al

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B6 (Pyridoxine): 25 mg

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Using compounded tirzepatide after its BUD is not recommended

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