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c/compounding·posted 4 months ago by u/priya_palacios

compounding: what the trials say vs what this community says

Discussion Clean Column ×3 Sourced ×2

Quick one. Canada here.

state board works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 13 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

1,138 up / 154 down88% upvoted42 commentsid leyd8v16 Mar 2026

42 comments

18 in this archive, depth 4

best — the order this archive was captured in

u/rohan_steiner0 points·4 months ago
that is the funniest sentence i have read on this site
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u/bruno_dumitru1 point·4 months ago

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

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u/quiet_moderatormod1 point·4 months ago

503B compounding is different from 503A, different rules, different legality

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u/yannick_petrov-30 points·4 months ago

503B compounding is different from 503A, different rules, different legality

Adding to this: 503B is doing more work than the comment implies.

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u/runa_grimaldi60 points·4 months ago
more of this energy please
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u/lukas_vermeulen26 points·4 months ago

Which state? Rules vary.

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u/fatima_kowalski14 points·4 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/controversial_only3 points·4 months ago

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

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u/priya_palaciosOP8 points·4 months ago

Asked 14 compounders about API source. One told me, one dodged, one said they cannot say. The answer is the signal.

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u/priya_palaciosOP8 points·4 months ago

The telehealth + compounding combo cost compounding plus 9% markup. Not cheap but covered by insurance depending on state.

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u/helga_vermeulen11 points·4 months ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/eu_apotheke_a19 points·4 months ago·edited

Every time this gets posted it hits the front page and every time someone has to re-explain it.

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[deleted]8 points·4 months ago

[deleted]

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u/draw_up_dizzy2 points·4 months ago

state board rules differ, say which state

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u/lina_ndiaye1 point·4 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/mateusz_adebayo13 points·4 months ago

Half-life is about 168 hours, so steady state lands around week 9–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/camila_mensa10 points·4 months ago·edited

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

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u/incretin_ivypharmacology6 points·4 months ago

telehealth prescriber models exist, pricing differs by 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.
  2. No pharmacy referral codes. Naming a pharmacy is fine; recruiting for it is not.
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