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203
c/compounding·posted 5 months ago by u/camila_sandvik

unpopular opinion: telehealth is massively overrated

Regulatory

shortage list. That is the whole post, but I will justify it.

Everything else people worry about in c/coldchain is downstream of it. Titration speed, early fullness, the endless dose arguments — most of it resolves if you sort shortage list out first, and almost nobody does.

I say this having got it wrong for 7 months. My A1c was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

208 up / 5 down98% upvoted19 commentsid k10cs02 Feb 2026

19 comments

14 in this archive, depth 4

best — the order this archive was captured in

u/bruno_dumitru-22 points·5 months ago

Moved states and the compounding landscape changed completely. Different rules, different pharmacies, different costs.

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u/amara_kuipers12 points·5 months ago

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

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u/cold_chromatogram3110 points·5 months ago

Half-life is about 168 hours, so steady state lands around week 7–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/camila_sandvikOP6 points·5 months ago

Asked 2 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/quiet_moderatorMOD9 points·5 months ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/formulary_fighterappeals4 points·5 months ago

Slight fix: the number was 96.8, not 97.2. Decimal point, but a fairly consequential one.

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u/camila_sandvikOP2 points·5 months ago

The 503A pharmacy I used lost their shortage list eligibility. Same day, compounding became illegal. Rules are real.

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u/anya_antonsen2 points·5 months ago

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

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u/camila_sandvikOP1 point·5 months ago

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

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u/enzo_ferrari4 points·5 months ago

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

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u/ahmed_okafor3 points·5 months ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/honest_syringe2 points·5 months ago

Which state? Rules vary.

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u/marit_laurent2 points·5 months ago

state board rules differ, say which state

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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.
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  3. API source questions are on-topic and pharmacies dodging them is newsworthy.
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