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If a prescriber documents a medical necessity for a compounded version, such as a patient who needs a specific formulation not available commercially, such as tirzepatide with B6 for nausea management, or a sublingual formulation for a patient who cannot tolerate injections, then compounding may still be permitted under the 503A framework

Patients may have personalized dosages to help mitigate side effects or for other medical reasons

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If you are using ipamorelin as part of a comprehensive fat loss protocol that includes exercise and diet modification, you are already doing the things that protect insulin sensitivity