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ForumsDosing & ProtocolsCompounded sema dosing calculator — what worked for you? Page 3

Compounded sema dosing calculator — what worked for you?

alex_tucson Sat, Nov 23, 2024 at 5:29 PM 15 replies 1,958 viewsPage 3 of 3
DebRD_ATL
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Nov 29, 2024 at 1:55 AM#11
PharmD_Rodriguez said:
Vendor communication red flags for compounded supply: Won't provide COA before purchase — walk away Claims "100% pure" without analytical data —…

I have been on both brand and compounded, and in the context of compounded supply, my experience has been equivalent with both. The key is finding a reliable 503B pharmacy with independent testing.

41 14BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 38 others
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steve_okc
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Jul 2024
Oklahoma City, OK
Nov 29, 2024 at 5:28 PM#12
LarryQC_SD said:
Worth adding the genuine exception, because it is real and narrow: a change made for an identified patient where the prescriber determines it produces…

Thank you — that is the clearest version of this I have read, and I have read a lot of them. Sending this to two other people who asked me the same thing last week.

42 15JakeSmashed95, NauseaFreeNow, SteveThurs and 39 others
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DerekSJ_a1c
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San Jose, CA
Nov 30, 2024 at 9:01 AM#13
PharmD_Rodriguez said:
Vendor communication red flags for compounded supply: Won't provide COA before purchase — walk away Claims "100% pure" without analytical data —…

FDA inspection results for compounding pharmacies selling compounded supply: you can look up any 503B facility's FDA inspection history on the FDA website.

Check for: Form 483 observations (violations), warning letters, and recall history. A clean inspection record is a strong indicator of quality. My pharmacy has had 1 Form 483 observations in their last 2 inspections.

This is public information. Use it. Link: fda.gov/inspections-compliance-enforcement-and-criminal-investigations

43 16rachel_ABQ, traveltech_sara, AttorneyGrant and 40 others
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DataDave
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Dec 1, 2024 at 12:33 AM#14
alex_tucson said:
My pharmacy stopped supplying with three weeks notice and a letter that explained nothing, so I went and read the statute.

Regarding compounded supply compounding legality: compounding pharmacies can legally produce semaglutide and tirzepatide while these drugs remain on the FDA shortage list. If/when the shortage resolves, the legal landscape may change.

Stay informed. The FDA shortage list is updated regularly. Current status as of my last check: semaglutide still in shortage, tirzepatide removed from shortage list. This directly impacts compounding availability.

44 17amsterdam_pete, LondonLisa, mike_nyc and 41 others
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mike_mod
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Dec 1, 2024 at 4:05 PM#15

Moderator note: the sourcing question belongs in the vendor section and has been split out. Tagging this one for the weekly digest.

45 18PurityPaulOR, MaxMetOK, MounjBrad and 42 others
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