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Compounded tirzepatide is largely unavailable: FDA ended enforcement discretion for 503A pharmacies Feb 18, 2025 and 503B outsourcing facilities March 19, 2025

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In its Annual Threat Assessment the Office of the Director of National Intelligence noted that while China remains the primary source for fentanyl precursors and pill presses, drug trafficking organizations in Mexico are also sourcing precursor chemicals from India

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