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Under a 1997 law, the first passed by Congress to regulate the industry, compounders can only use ingredients that are a component of an approved drug, have whats known as a USP monograph (essentially a third-party certified recipe for a drug used mainly by manufacturers of generics), or are listed as approved substances by the FDA

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If the stack disrupts menstrual function, it's creating unsustainable metabolic conditions regardless of short-term outcomes