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Some states have taken particularly aggressive stances: Louisiana's Board of Pharmacy imposed restrictions on semaglutide compounding Alabama's State Board of Medical Examiners issued declaratory rulings Multiple state Attorneys General have issued consumer warnings State medical and pharmacy boards are coordinating with FDA to investigate complaints about compounded semaglutide and tirzepatide products

Complex dosing modifications for a triple-receptor agonist ideally involve medical guidance, particularly given the absence of clinical trial data on alternative schedules

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This distinction determines management