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318
c/compounding·posted 3 months ago by u/prior_auth_pain

telehealth: the version I wish someone had shown me in week 1

Question Cold Box ×8

Week 70 update. 31kg down from the start, muscle cramps basically gone since about week 27.

Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with muscle cramps.

The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.

Happy to answer anything. Please do not ask me what dose you should be on.

425 up / 107 down80% upvoted29 commentsid mst87r8 Apr 2026

29 comments

22 in this archive, depth 5

best — the order this archive was captured in

u/usp_appendixcompendial33 points·3 months ago

Mechanistically the bit that matters is API source. It explains most of the early profile and a decent chunk of the outcome.

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u/prior_auth_painOPappeals24 points·3 months ago

the the UK situation is different from the US, different regulations

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u/hugo_bergstrom16 points·3 months ago·edited

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

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u/gustav_cardoso6 points·3 months ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/anya_antonsen20 points·3 months ago

telehealth prescriber models exist, pricing differs by state

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u/ruben_cabrera15 points·3 months ago

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

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u/prior_auth_painOPappeals0 points·3 months ago

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

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u/prior_auth_painOPappeals13 points·3 months ago·edited

the Poland situation is different from the US, different regulations

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u/yannick_petrov23 points·3 months ago

Which state? Rules vary.

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u/kavya_kravchenko33 points·3 months ago

telehealth prescriber models exist, pricing differs by state

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u/receptor_bias_rick18 points·3 months ago

This is correct. The shortage list does expire and the rules change.

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u/step_count_stan5 points·3 months ago·edited

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

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u/tb500_tangent-25 points·3 months ago

Strongly agree. API source transparency matters.

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u/tobias_vukovic1 point·3 months ago

The confident tone is doing a lot of work that the evidence is not.

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u/step_therapy_s1 point·3 months ago

telehealth costs telehealth plus compounding markup, total varies

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u/hamza_serrano1 point·3 months ago·edited

telehealth prescriber models exist, pricing differs by state

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u/liv_vukovic1 point·3 months ago

telehealth costs telehealth plus compounding markup, total varies

Yes, exactly this, and it is the bit that took me 81 weeks to accept.

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u/prior_auth_painMOD14 points·3 months ago

Flair changed to match the content. Read the sidebar before posting next time and we are square.

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u/draw_up_dizzy5 points·3 months ago

The 503A pharmacy I used lost their shortage list eligibility. Same day, compounding became illegal. Rules are real.

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u/mikkel_correia3 points·3 months ago

telehealth prescriber models exist, pricing differs by state

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u/quiet_moderatormod12 points·3 months ago

telehealth costs 503B plus compounding markup, total varies

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[removed]9 points·3 months ago

[removed by moderator]

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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
  1. Regulatory claims need a citation to the actual rule, notice or docket.
  2. No pharmacy referral codes. Naming a pharmacy is fine; recruiting for it is not.
  3. API source questions are on-topic and pharmacies dodging them is newsworthy.
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