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ForumsTirzepatide (Mounjaro / Zepbound)Mounjaro pen vs compounded vial - pros and cons? — looking for input Page 5

Mounjaro pen vs compounded vial - pros and cons? — looking for input

nick_newbie Tue, Jul 9, 2024 at 10:50 AM 43 replies 2,583 viewsPage 5 of 9
mike_mealprep
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Jul 12, 2024 at 8:22 AM#21
wei_SG said:
Compounding pharmacy red flag checklist for compounded supply — if ANY of these apply, find a different source: No verifiable physical address No…

This matches mine closely enough to be worth saying so out loud.

14 12mia_MS2, LeilaHI, marcus_mpls and 11 others
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Dr.NephBHM_UK
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Jul 13, 2024 at 4:36 AM#22
wei_SG said:
Compounding pharmacy red flag checklist for compounded supply — if ANY of these apply, find a different source: No verifiable physical address No…

There is a second half to this that has not been said yet. Steady state is faster than people expect: half-life about five days, so you are at plateau in roughly three to four weeks rather than five. That matters when you are deciding whether a dose step has finished expressing itself.

Happy to go further on any of that.

Last edited: Jul 13, 2024 at 10:36 AM
15 13EndoResFellow, PharmacoVig_BOS, SurmountFan_IN and 12 others
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josh_phd_bmore
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Jul 14, 2024 at 12:51 AM#23
wei_SG said:
Compounding pharmacy red flag checklist for compounded supply — if ANY of these apply, find a different source: No verifiable physical address No…

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 0 Form 483 observations in their last 4 inspections.

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

16 14zoe_NC, Dr.ObesityLA, NurseKim_ATL and 13 others
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jennifer_SEA
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Jul 14, 2024 at 9:06 PM#24

A narrower follow-up, since the general answer is now clear:

Whether anyone has held 10mg long term rather than climbing, and what happened over the following year?

17 15jim_asheville, matt_MKE, Dr.ReproEndo and 14 others
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TirzTom
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Jul 15, 2024 at 5:22 PM#25
josh_phd_bmore said:
FDA inspection results for compounding pharmacies selling compounded supply: you can look up any 503B facility's FDA inspection history on the FDA…

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.

Last edited: Jul 15, 2024 at 9:22 PM
18 16DeniseRN_TPA, SandraNC_45, Dr.EndoIndy and 15 others
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