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Before starting compounded GLP-1 medication: Verify the compounding pharmacy is properly licensed in its state Confirm the pharmacy's credentials with the prescriber Ask whether the compounded product uses semaglutide base, what excipients are used, and what testing and sterility standards apply Discuss specific risks of compounded products with the prescribing clinician Understand you are using a product with different regulatory oversight than FDA-approved alternatives Who Should Not Take GLP-1 Medications Based on prescribing guidelines, contraindications include: Personal or family history of medullary thyroid carcinoma Multiple Endocrine Neoplasia syndrome type 2 Known hypersensitivity to the medication Current pregnancy or breastfeeding Other conditions may require careful evaluation rather than being absolute disqualifiers

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