The drugmakers would say compounded drugs are not FDA-approved, marketed with misleading or dangerous information, and therefore unsafe for consumers and there is precedent for this given the 2012 nationwide fungal meningitis outbreak stemming from compounding drug facilities
For people without significant weight to lose who are interested in body composition optimization, other peptides for athletic performance and anti-aging peptides may be more appropriate
Patients reporting excessive fatigue, weakness, functional decline, persistent vomiting, or dehydration warrant further evaluation including possible body composition assessment via DXA scan or bioelectrical impedance analysis, though these are optional adjuncts and not routinely necessary
Friedman is advising his patients to make a 10-minute followup appointment to discuss options
If internal appeal fails, ask for an external independent review
Gut microbiota in adipose tissue dysfunction induced cardiovascular disease: role as a metabolic organ