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They aren't allowed to manufacture medications in bulk and the drugs they produce aren't checked for safety, quality and efficacy by the regulator, the Therapeutic Goods Administration (TGA)
[12] A systematic review of prebiotic randomized controlled trials and a 2026 scoping review of dietary fibers both concluded that fermentable fibers can raise endogenous GLP-1 and satiety, while noting that effect sizes vary and depend on the fiber type and dose
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More than 10 years ago, a compounding pharmacy in Massachusetts produced contaminated steroid spinal injections, in bulk, that resulted in a widespread fungal meningitis outbreak, injuring more than 700 patients and killing 100
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