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ForumsCompounding & FormulationCompounded semaglutide stability: accelerated degradation study results — need advice Page 3

Compounded semaglutide stability: accelerated degradation study results — need advice

jennifer_SEA Thu, Jan 9, 2025 at 8:04 AM 15 replies 1,876 viewsPage 3 of 3
Dr.NephBHM_UK
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Jan 16, 2025 at 12:14 PM#11
Dr.RenalNash said:
The dose-response is real but shallow at the top.

This answered a question I did not know how to ask. I will report back once I have actually tried it.

Last edited: Jan 16, 2025 at 6:14 PM
13 13Dr.CardioMD, EndoResFellow, PharmacoVig_BOS and 10 others
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TrialTracker_MD
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Jan 18, 2025 at 4:22 AM#12

Clinical perspective, offered as context rather than as advice.

jennifer_SEA said:
...but the FDA says semaglutide...

Interesting point. I want to add some regulatory nuance: the FDA labeling reflects the specific clinical trial data submitted for approval. Real-world clinical practice often extends beyond the FDA label based on emerging evidence and clinical judgment.

Example: semaglutide was first approved for diabetes (Ozempic), then obesity (Wegovy). The molecule didn't change — our understanding of its applications expanded. Similarly, semaglutide may evolve as more data accumulates.

12 12stefan_berlin, Dr.EM_Chicago, pete_RVA and 9 others
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KevinCompounds
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Jan 19, 2025 at 8:29 PM#13
Dr.SleepRoch said:
Steady state is the thing most people miss.

I read this differently from Dr.SleepRoch, on substance rather than tone. The trial means are being read too generously in this thread. STEP populations were selected, supported, and titrated by protocol, and the real-world curves are consistently a few points worse. That difference is not noise, it is what happens when you remove the study infrastructure.

Last edited: Jan 19, 2025 at 10:29 PM
11 11MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 8 others
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lucas_SP_BR
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Jan 21, 2025 at 12:35 PM#14

Adding the numbers, since they settle part of this. Two things anyone can check: a state licence number for a 503A, and an FDA outsourcing-facility registration for a 503B. Both are publicly searchable, and a pharmacy unwilling to give you either has answered the question.

10 10KarenAZ_mom, zoe_NC, Dr.ObesityLA and 7 others
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mike_mod
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Jan 23, 2025 at 4:40 AM#15

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here. No action needed from anybody.

Last edited: Jan 23, 2025 at 6:40 AM
9 9PurityPaulOR, MaxMetOK, MounjBrad and 6 others
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