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The National Institutes of Health operates a searchable database at ClinicalTrials.gov for active studies involving GLP-1 medications

There are plenty of other places that are advertising compounded semaglutide but they get theirs from a reputable compounding pharmacy and actually care about their patients

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Safety and efficacy depend on the compounding pharmacy you buy from and the formulation used

Patients with genetic predispositions toward rapid lean mass loss can proactively increase protein and resistance training, while those with natural muscle-preservation advantages may tolerate faster weight loss with less bone impact