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I do not think the compounders are the good guys here

Patients with pre-existing diabetic retinopathy should be monitored closely, as rapid improvement in blood glucose control may be associated with temporary worsening of retinopathy

For example, if a 2 mg dose is taken: After 1 week: ~1 mg remains After 2 weeks: ~0.5 mg remains After 34 weeks: Levels continue to decrease until fully cleared This extended presence contributes to its effectiveness and allows for weekly dosing without sharp fluctuations in blood concentration

They are chemically identical and work by blocking serotonin receptors in the gut and brain to prevent nausea and vomiting

Each injection will come with an instruction pamphlet that you should follow closely