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Source: FDA briefing document, Pharmacy Compounding Advisory Committee, July 2026

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The bad news is that rushing the titration will almost certainly result in more severe symptoms than either compound would cause alone

Here is the complete list: One 5mg semaglutide lyophilized vial One vial of bacteriostatic water (0.9% benzyl alcohol) One sterile syringe for reconstitution (1mL or 3mL) Alcohol swabs (at least 2) Clean, flat work surface Permanent marker for labeling Do not use sterile water for injection unless you plan to use the entire vial in a single dose

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