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The regulatory landscape for compounded GLP-1 products has changed materially since early 2025, with the FDA resolving both semaglutide and tirzepatide shortages and ending temporary enforcement discretion periods

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Due to the atypical symptoms of IIH and the unclear etiology of elevated ICP, a diagnosis of IIH diagnosis requires direct evidence of papilledema, elevated ICP (250 mmH 2 O), normal cerebrospinal fluid (CSF) composition, and no structural causes of elevated ICP on computed tomography (CT) or magnetic resonance imaging (MRI) [2]

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The peptide market has a lot of unreliable suppliers

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Eriss liraglutide, an older off-patent GLP-1, does about 1 crore a month

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found no increased risk of ileus or intestinal obstruction among Danish IBD patients receiving GLP-1 RAs [33]

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