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The smaller 503A pharmacies, however, are exempt from CGMP and just need to be licensed by their state board of pharmacy, which requires following rules set by the United States Pharmacopeia (USP) instead
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[1] [2] When treatment is interrupted for extended periods, the body may lose its adaptation to the medication, and restarting at a full maintenance dose could increase the risk of gastrointestinal symptoms
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The patient was started on semaglutide for her diabetes approximately 10 months prior to presentation
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