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I learned that there seem to be two main ways people who dont meet the FDA criteria are getting the drugs

Although rare, cases of pancreatitis (inflammation of the pancreas) have been reported

Its also worth noting that several other telehealth providers offer compounded GLP-1s at a lower price point than Remedy Meds, some starting under $100 per month (although availability of all compounded GLP-1 medications is unclear)

Tirzepatide is a dual GIP/GLP-1 receptor agonist, showing 21-23% greater weight reduction in head-to-head studies published in 2023

Seek immediate medical attention for severe or persistent abdominal pain (especially if radiating to the back), which could indicate pancreatitis

And patient organizations may rightly challenge designs that feel unacceptable, especially prolonged placebo exposure in pediatric or severe rare diseases