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Under these circumstances: 503A pharmacies (state-regulated) may compound drugs for individual patients pursuant to specific United States Pharmacopeia (USP) standards

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Common Causes: Vitamin D excess (Calcitriol, Cholecalciferol supplements) Calcium supplements (especially overuse of antacids like Calcium carbonate) Thiazide diuretics (Hydrochlorothiazide, Chlorthalidone reduce calcium excretion) Lithium (increases parathyroid hormone raises calcium) Vitamin A toxicity (Retinoids like Isotretinoin) Theophylline (in overdose) Tamoxifen (in bone metastasis cases) Drug-Induced Hypocalcemia (Low Blood Calcium) These drugs reduce calcium absorption, increase excretion, or suppress parathyroid hormone

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