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Manufacturers like Novo Nordisk (semaglutide) and Eli Lilly (tirzepatide) have sued compounding pharmacies for producing adulterated (contaminated or tainted) or misbranded products and for dispensing medications without proper prescriptions

Fragmented tracking obscures causation when dosing, side effects, menstrual changes, and cravings overlap, and clinicians often need organized, time-stamped data over 3 months to separate drug effects from adherence or baseline variability

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