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The citation is a pilot study testing the impact of a low-carbohydrate ketogenic diet on signs and symptoms of PCOS

doi:10.1165/rcmb.2005-0325OC

It really may not be worth it to them, since they already have FDA approval and since doctors commonly prescribe off-label, especially for mental health disorders

doi: 10.5114/aoms.2020.96908

Understanding the Safety Concerns of Compounded GLP-1 Therapies The primary concern when evaluating compounded GLP-1 clinical safety is product quality, consistency, and manufacturing oversight