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c/compounding·posted 18 days ago by u/ahmed_okafor

[PSA] semaglutide salt forms are not the same molecule as semaglutide

PSA Long Haul ×5 Slow Clap ×1

Week 16 update. 7kg down from the start, reflux basically gone since about week 68.

Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with reflux.

The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.

Happy to answer anything. Please do not ask me what dose you should be on.

1,801 up / 61 down97% upvoted56 commentsid 1otk8q12 Jul 2026

56 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/marit_mwangi171 points·16 days ago

the the UK situation is different from the US, different regulations

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[removed]125 points·16 days ago

[removed by moderator]

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u/sofia_nascimento70 points·16 days ago

the shortage list is temporary, it ends and compounding becomes illegal again

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u/food_noise_gonemaintenance84 points·15 days ago

telehealth costs 503A plus compounding markup, total varies

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u/ahmed_okaforOP32 points·15 days ago

Asked 24 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/food_noise_gonemaintenance93 points·17 days ago·edited

This is correct. The shortage list does expire and the rules change.

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u/prior_auth_painMOD43 points·17 days ago

Tracking number removed. It identifies both ends of a shipment.

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u/tobias_vukovic27 points·16 days ago

regulatory claims need a citation to the actual rule, not interpretation

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u/ahmed_okaforOP12 points·16 days ago

The telehealth + compounding combo cost 503A plus 7% markup. Not cheap but covered by insurance depending on state.

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u/ilias_cabrera14 points·16 days ago

API transparency is the question that separates good compounders from sketchy ones

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u/quiet_moderatormod0 points·16 days ago

Which state? Rules vary.

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u/yusuf_kirchner22 points·16 days ago·edited

telehealth costs API source plus compounding markup, total varies

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u/elise_ramos56 points·16 days ago

Did they tell you their API source or dodge the question?

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u/bruno_dumitru82 points·16 days ago

no pharmacy referral codes, naming is fine, recruiting is not

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u/kavya_kravchenko51 points·16 days ago

Which state? Rules vary.

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u/ahmed_okaforOP34 points·16 days ago

API transparency is the question that separates good compounders from sketchy ones

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u/ruben_cabrera90 points·17 days ago

shortage list status is 503A, check the actual list

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u/formulary_fighterappeals29 points·17 days ago·edited

no pharmacy referral codes, naming is fine, recruiting is not

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u/santiago_rasmussen57 points·17 days ago·edited

Asked 13 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/sigrid_kaufmann39 points·17 days ago

telehealth prescriber models exist, pricing differs by state

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u/incretin_ivypharmacology9 points·17 days ago

telehealth prescriber models exist, pricing differs by state

Yes, exactly this, and it is the bit that took me 76 weeks to accept.

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u/kian_ferreira133 points·17 days ago

telehealth costs compounding plus compounding markup, total varies

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u/controversial_only68 points·17 days ago

API source questions are on-topic and compounders dodging them is newsworthy

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u/honest_syringe_20250 points·17 days ago

Slight fix: the number was 98.7, not 98.9. Decimal point, but a fairly consequential one.

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About c/compounding

Compounded GLP-1s as a supply route: the 503A/503B distinction, the shortage-list mechanics that made compounding legal and then didn't, state board rules, telehealth prescriber models, and what a compounding pharmacy will and will not tell you about its API source.

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c/compounding rules
  1. Regulatory claims need a citation to the actual rule, notice or docket.
  2. No pharmacy referral codes. Naming a pharmacy is fine; recruiting for it is not.
  3. API source questions are on-topic and pharmacies dodging them is newsworthy.
  4. Independent community. Nobody here sells anything, and anyone who tries is banned.
  5. Not medical advice. Describe what you did; never prescribe to a stranger.
  6. Claims need evidence. Batch numbers, dated screenshots, independent test reports, or a citation.
  7. No referral links, discount codes or affiliate URLs. Permanent ban, no appeal.
  8. No contact handles, wallet addresses or tracking numbers — they identify people.
  9. Be recognisably decent. Disagree hard, insult nobody.
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