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c/compounding·posted 1 year ago by u/ahmed_okafor

[Meta] the state board rule is doing its job and people should stop complaining

Regulatory Slow Clap ×8

Long-ish post, sorry. tl;dr at the bottom.

I have been tracking telehealth against triglycerides for 39 weeks because I could not find anyone who had. The correlation is weaker than I expected, which is itself mildly interesting given how confidently people link the two in here.

Caveats up front: one person, one lab, one assay, no control, and I changed my training in the middle of it, which was stupid.

tl;dr: probably real, definitely smaller than the threads imply, and not worth reorganising your week around.

1,215 up / 371 down77% upvoted60 commentsid 1m0zxp16 May 2025

60 comments

27 in this archive, depth 6

best — the order this archive was captured in

u/kavya_kravchenko130 points·1 year ago

Yeah, 503A and 503B are different regulatory animals.

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u/anya_antonsen83 points·1 year ago

Moved states and the compounding landscape changed completely. Different rules, different pharmacies, different costs.

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u/swirl_dont_shakereconstitution68 points·1 year ago

Not convinced. The evidence does not support that reading.

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u/ahmed_okaforOP88 points·1 year ago

telehealth costs state board plus compounding markup, total varies

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u/ismael_pires28 points·1 year ago

the shortage list is temporary, it ends and compounding becomes illegal again

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u/rania_diallo128 points·1 year ago

telehealth costs state board plus compounding markup, total varies

Yes, exactly this, and it is the bit that took me 8 weeks to accept.

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u/bruno_dumitru101 points·1 year ago

the 503A/503B distinction is load-bearing, do not blur it

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u/kian_ferreira79 points·1 year ago

API transparency is the question that separates good compounders from sketchy ones

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u/bruno_dumitru61 points·1 year ago

Strongly agree. API source transparency matters.

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[removed]45 points·1 year ago

[removed by moderator]

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u/emeka_chowdhury15 points·1 year ago

the shortage list is temporary, it ends and compounding becomes illegal again

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u/ahmed_okaforOP36 points·1 year ago

telehealth costs state board plus compounding markup, total varies

Adding to this: 503B is doing more work than the comment implies.

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u/liver_enzyme_liz53 points·1 year ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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u/tb500_tangent96 points·1 year ago
no
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u/ahmed_okaforOP56 points·1 year ago

state board rules differ, say which state

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u/julia_erdogan36 points·1 year ago

telehealth prescriber models exist, pricing differs by state

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u/teodor_duarte27 points·1 year ago

no pharmacy referral codes, naming is fine, recruiting is not

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u/ahmed_okafor66 points·1 year ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/jonas_eriksen44 points·1 year ago

503B compounding is different from 503A, different rules, different legality

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u/nadia_fonseca12 points·1 year ago

the shortage list is temporary, it ends and compounding becomes illegal again

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u/food_noise_gonemaintenance29 points·1 year ago·edited

Sceptical. If this were true we would see it reflected in the data and we do not.

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u/ahmed_fonseca36 points·1 year ago

state board rules differ, say which state

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u/cold_chromatogram3142 points·1 year ago·edited

Slight fix: the number was 95.1, not 94.2. Decimal point, but a fairly consequential one.

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u/neha_krastev21 points·1 year ago

the Denmark situation is different from the US, different regulations

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u/yannick_barros60 points·1 year ago
ask your actual doctor, not us
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u/ruben_cabrera19 points·1 year ago·edited

no pharmacy referral codes, naming is fine, recruiting is not

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About c/compounding

Compounded GLP-1s as a supply route: the 503A/503B distinction, the shortage-list mechanics that made compounding legal and then didn't, state board rules, telehealth prescriber models, and what a compounding pharmacy will and will not tell you about its API source.

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c/compounding rules
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