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When Compounded Might Be Less Effective: Poor-Quality Sources: Unlicensed compounding operations International sources without oversight Research chemical suppliers Social media sellers **These are not legitimate compounded medications and may contain: Incorrect doses Degraded medication No active ingredient Contaminants Always use FDA-registered compounding pharmacies through legitimate telehealth providers like TrimRx

Nonetheless, while these agents are well-tolerated, they have some side effects, most importantly gastrointestinal, which warrant attention

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Prescribers who authorize compounded combinations without appropriate clinical justification may face increased scrutiny or liability under federal and state law 2

As a pro-inflammatory cytokine, IL-6 participates in the acute phase reaction and stimulates immune responses, especially during infection and tissue damage (102)