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The key factors that matter for quality in any compounding pharmacy are: Sterile compounding practices (USP 797 compliance) Third-party testing for potency and sterility Pharmaceutical-grade ingredient sourcing Proper temperature-controlled storage and shipping Current state licensing in the states they serve Brello states that their medications "contain the same FDA-approved active pharmaceutical ingredients as brand name medications" and are "prepared using sterile compounding practices and undergo third-party testing." These claims are standard for reputable compounding operations, but they are not independently verifiable by the consumer

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