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Although the FDA has the authority to provide oversight and demand information from the companies that manufacture and sell compounded forms of FDA-approved medications, the agency doesnt have enough staff to monitor all the compounding that happens

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Systematic reviews and meta-analyses of randomized trials have further confirmed that while GLP-1RAs lower body weight and fat mass significantly, they do not appear to exert an independent detrimental effect on skeletal muscle index beyond expected proportional reductions [25]