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The official position of the FDA is that compounding Ozempic, Wegovy, or Rybselsus is discouraged

Additionally, for individuals who cannot tolerate full therapeutic doses of metformin due to side effects, adding inositol might allow for lower metformin doses while maintaining some metabolic benefits, though this approach requires medical supervision

Once you open a sterile vial, every second it sits exposed increases contamination risk

There is also debate as to the best delivery system, whether liposomal, oral, or intravenous

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The abdomen (2+ inches from the navel), the front and outer thigh, and the outer upper arm are all approved