Cost, Insurance Driving Move to Compounded Drugs Compounded GLP-1 medications are not approved by the FDA, and the agency issued a warning in June calling them potentially "risky for patients." This hasn't stopped patients from switching to the unapproved drugs, and 35% of patients who took compounded GLP-1s left from a name brand drug, according to Gallup
For participants receiving 40 mg daily of oral semaglutide, three different dose-titration protocols were used where patients were titrated up to the full 40 mg dose in 6 weeks (fast dose escalation), 12 weeks (standard dose escalation), or 24 weeks (slow dose escalation)
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In the SURMOUNT-5 head-to-head trial, tirzepatide (Mounjaro) produced 47% more weight loss than semaglutide (Ozempic/Wegovy)
However, exceeding the dosage may cause nausea, abdominal cramps, a fishy body odour, and diarrhoea in some individuals
Annu Rev Biochem, 1983