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It is not unique to see the FDA provide a longer period of enforcement discretion for products compounded by 503B outsourcing facilities than those compounded by 503A compounding pharmacies because the FDA gives weight to the additional quality assurances and oversight that the FDA requires for 503B facilities

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Common culprits include: Cruciferous vegetables : broccoli, cauliflower, Brussels sprouts, cabbage, and kale Allium vegetables : onions, garlic, leeks, and shallots Protein sources : eggs (particularly egg yolks) and red meat Dairy products : which may cause symptoms due to lactose content rather than sulphur Legumes : beans, lentils, and chickpeas, which contain fermentable carbohydrates Rather than eliminating these nutritious foods entirely, consider reducing portion sizes or frequency of consumption, particularly during the initial months of GLP-1 treatment when side effects are typically most pronounced