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However, these outsourcing facilities do not produce FDA-approved medications

Quick answer: GLP-1 medications need to be refrigerated before first use to maintain effectiveness
The receptor profiles are different (dual versus triple agonist), the potency per milligram is different, and the side effect profiles are different

17(12):e1003228 Doumouras AG, Hong D, Lee Y, Tarride JE, Paterson JM, Anvari M (2020) Association between bariatric surgery and all-cause mortality: a population-based matched cohort study in a universal health care system

One injection, one needle
