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As of early 2025, the agency had received: 455+ adverse event reports linked to compounded semaglutide 320+ adverse event reports linked to compounded tirzepatide Many of these reports involved dosing errors from patients self-administering incorrect doses from multi-dose vials a format common in compounding but not used by brand-name products (which use pre-filled, single-dose pens with built-in dose controls)

Lipase, amylase, liver-related markers, CBC, and nutritional tests are generally selected according to symptoms, history, and previous results rather than ordered automatically for everyone

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