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The 2023 FDA categorization decision that moved 19 popular peptides to the prohibited compounding list deserves particular scrutiny

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Both alcohol and [GLP-1 drugs] can decrease blood sugar levels, and this could be dangerous, particularly in those that are also on insulin or other blood-sugar-lowering medications, says Brianna Johnson-Rabbett, MD, the interim medical director of the American Board of Obesity Medicine

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Shaking a vial vigorously can cause mechanical stress that breaks the peptide bonds, a process called shearing