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Unlike mass-manufactured pharmaceuticals, compounded medications have shorter shelf lives because they lack certain preservatives added to factory-produced versions

Or another GLP-1 receptor agonist drug

doi: 10.1056/nejmoa2032183

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"The FDA's compounding program aims to protect patients from poor quality compounded drugs, while preserving access to lawfully marketed compounded drugs for patients." Compound versions of drugs -- made for individual patients using raw ingredients -- are not required to go through the FDA's rigorous approval process