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Under the Federal Food, Drug, and Cosmetic Act, pharmacies can compound medications that are on the drug shortage list

It was approved for type 2 diabetes in the USA in 2017 and in Canada and Europe in 2018 for 1 mg SEM administered subcutaneously once weekly, exhibiting a safety profile similar to other antidiabetic agents and offering additional advantages [21,22]

Private access through regulated online pharmacies is the most common route for patients who do not qualify for, or cannot wait for, NHS treatment

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