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The broad, shortage-based compounding pathway ended after the FDA resolved the semaglutide and tirzepatide shortages, and in April 2026 the FDA proposed excluding these drugs from the 503B outsourcing-facility bulks list, with a comment period through June 29, 2026

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If you experience persistent injection-site reactions, significant bruising, or concerns about proper technique, contact your healthcare provider or request a consultation with a certified diabetes educator