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Removed from 503B Compounding (2024) CJC-1295 (with or without DAC) Growth hormone release Ipamorelin Growth hormone release Thymosin Alpha-1 Immune support AOD-9604 Fat loss Note: BPC-157 and TB-500 were removed from 503B outsourcing facility compounding in 2024 but remain available through 503A compounding pharmacies via patient-specific prescriptions

This aligns with what many clinicians emphasize: rapid change and limited time for skin retraction make laxity more visible

In the context of triple agonism, the insulin-stimulating effects of GLP-1R and GIPR activation counterbalance the glucagon receptors glucose-raising action

Those cases may support an upgrade to E11.42 (polyneuropathy) or E11.43 (autonomic neuropathy), which may improve clinical specificity and reduce payer queries