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She also started playing pickleball twice a week

Add a GLP-1 medication that further slows gastric emptying, and you have a recipe for extended fermentation and increased gas production

Indeed, CDER Acting Director Michael Davis reinforced the policy point publicly on X, emphasizing that compounded GLP1 products are not FDAapproved and have not undergone the rigorous review for safety, efficacy, and manufacturing quality that is required for drugs approved through the new drug application (NDA) or abbreviated new drug application (ANDA) pathways.[3] This is now the third major set of warning letters in less than a year with the majority aimed at telehealth marketing of compounded GLP-1 products: September 2025: roughly 80 warning letters and 40 untitled letters March 2026: 30 warning letters June 2026: 25 warning letters The Claims FDA Is Targeting As in earlier rounds, the June 2026 letters appear highly standardized and focus on consumerfacing promotion of compounded GLP-1 products

Using a target trial emulation framework and propensity score weighting to balance comorbidities, researchers tracked outcomes over a median of three years

Titration exists for two reasons: tolerability and precision