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Escalation to specialist or in-person care is warranted if a patient reports symptoms of pancreatitis, significant gastrointestinal side effects, rapid heart rate changes, or signs of dehydration

Responsibly. Even after federal regulators moved to cut back production of compounded GLP-1s, and drug makers sued compounding pharmacies to push them out of the market, many patients continue to receive compounded GLP-1s through sources that have become familiar to them, such as telehealth platforms, physicians who specialize in hormone treatments and nurse practitioners at medical spas

10.1016/S0272-6386(03)00113-6 50

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