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The FDA has escalated enforcement against compounded GLP-1 marketing since September 2025, Novo Nordisk launched the first FDA-approved oral semaglutide pill in January 2026, and compounding pharmacy supply chains are narrowing as regulatory pressure increases

For renewals, the form asks for objective evidence of continued benefit (e.g., decreased HbA1c)

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Avoiding lying down immediately after eating can also help reduce nausea and reflux symptoms
