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Compounders pivoted to combination formulations like semaglutide with B12 or pyridoxine, which remain legal under section 503A when prescribed for an individual patient with documented medical need

FDA labels specifically warn about this risk

Notwithstanding, since blood bilirubin levels (linked to liver function) might be linked to peripheral neuropathy in type 2 diabetes, 12 it might be prudent to schedule extra slitlamp assessments including corneal staining and fluorescein tear break up time measures in such patients

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If the solution looks milky, foggy, or anything other than crystal clear, degradation has likely occurred