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The product is prepared under regulatory oversight (state pharmacy boards inspect compounding pharmacies), but the documentation standard is not as uniform as FDA-registered manufacturing
GLP-1 Analogs and DPP-4 Inhibitors in Type 2 Diabetes Therapy: Review of Head-to-Head Clinical Trials
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Specifically, the treatment has been approved for those over the age of 16 and not suffering from severe hepatic impairment, as it may cause reversible increases in aspartate aminotransferase (AST) or alanine aminotransferase (ALT) (Lee, 2023)
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Despite some promising data, ibutamoren was banned for use in compounding pharmacies by the FDA (8) during the 2023 episode, but unlike ipamorelin and others, it currently remains banned due to concerns for heart failure
