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Worse than the script is that a large number of these people are getting compounded medicines. I personally wrote a letter to the FDA, who responded that none of the compounded preparations are approved in the United States. No one knows where the active peptide is being made, and by whom. Large numbers of doctors are becoming wealthy, doing telehealth prescribing a medication made in a factory that the FDA has had no supervision or even awareness of its location. They shut a few down, but they open up even faster. Many of the compounds are not certified for human use, and certainly have not been tested in humans . Patient say they're active so they must be good that's like saying arsenic can help you lose weight, so what's wrong with it?

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Menopause clinics that have been selling useless hormone tests so they can sell compounded hormone pellets are now selling compounded GLP-1 drugs to their clients. Of course these clinic visits and treatments aren't covered by insurance. Clients have been bamboozled into believing someone is finally addressing their needs.

Another even more appalling thing going on is the menopause retreat where doctors have classes over a few days for their clients at a luxury resort and then, dine, drink, and play together. One Texas GYN charged $6k for 3 days. Her colleagues will be talking up compounded Ozempic "at very low and safe doses" next week at a $500 one-day retreat at a Houston Hotel. If you can't attend, you can do a telehealth for all your compounded treatments. No exam necessary and a lab order will be emailed to you.

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My concern is that already overworked primary care docs and surgeons will be responsible for managing the complications of these unsupervised drugs. Does anyone remember cardiologists calling us in a panic that the postmenopausal women they put on unopposed estrogen now having dysfunctional uterine bleeding?

That was before the Internet and telemedicine. It’s the Wild West out there.

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Inevitable. It i what our health system is

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