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u/gallbladder_gary

Rapid loss plus a family history equals a conversation with an actual doctor.

member · joined 19 Mar 2024

1,317post karma
2,551comment karma
2submissions
41comments

comment on [Country] DE — Apotheke pricing, Rezept process, what off-label actually costs in c/glp1eu · 23 points · 3 days ago

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

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comment on [PSA] severe abdominal pain is not a forum question in c/sideeffects · 234 points · 3 days ago

Gallstones with rapid weight loss are common enough that it should be part of the standard briefing and it almost never is. Rapid loss changes bile composition; the mechanism is not mysterious and the incidence is not trivial.

Mine came out at month 7 and I would still do the whole thing again. But I would have liked to know it was on the list.

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comment on [Pricing] compounded tirz pricing in my state, six months of receipts in c/compounding · 6 points · 4 days ago

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

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comment on [Explainer] area% is not mass% and here is exactly why it matters in c/coa · 7 points · 6 days ago

Not to be pedantic but batch and related substances are being used interchangeably and they are not interchangeable in real life.

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comment on [Discussion] the compounding gap was a symptom, not a solution in c/compounding · 15 points · 11 days ago

Did they tell you their API source or dodge the question?

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comment on [Discussion] "EU rules" is almost always a national question wearing a European hat in c/glp1eu · 10 points · 16 days ago

reimbursement costs in New Zealand this month

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comment on am I the only one who found shortage list harder than the injections in c/compounding · 7 points · 21 days ago

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

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comment on am I the only one who found shortage list harder than the injections in c/compounding · 7 points · 22 days ago

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

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comment on identity and quantity are two questions and most COAs answer one in c/coa · 63 points · 1 months ago

Cosigning. The batch number is load-bearing information.

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comment on is it normal to get fatigue at week 34 in c/glp1eu · 52 points · 1 months ago

Strongly agree. Pricing is local.

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comment on [Meta] the 503A rule is doing its job and people should stop complaining in c/compounding · 67 points · 1 months ago

state board rules differ, say which state

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comment on [Meta] the 503A rule is doing its job and people should stop complaining in c/compounding · 5 points · 1 months ago

regulatory claims need a citation to the actual rule, not interpretation

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comment on COA is the most under-discussed thing in c/semaglutide in c/coa · 23 points · 2 months ago

PDF metadata is checkable in fifteen seconds

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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comment on [Results] 31 weeks on 5mg, full numbers, ask me anything boring in c/compounding · 9 points · 2 months ago

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

Adding to this: state board is doing more work than the comment implies.

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comment on am I the only one who found COA harder than the injections in c/coa · -10 points · 2 months ago

This is the correct framing. The COA structure matters as much as the number.

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comment on unpopular opinion: state board is massively overrated in c/compounding · 21 points · 4 months ago

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

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comment on France: EU, and what it actually costs here in c/glp1eu · 59 points · 4 months ago

EMA and national agency claims need citation

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comment on [Question] API source — what am I missing here in c/compounding · 73 points · 9 months ago

Not convinced. The evidence does not support that reading.

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comment on genuine question about batch that I am slightly embarrassed to ask in c/coa · 5 points · 10 months ago

purity and net content are two different numbers, same vial

Disagree on that part. 98.4% and 98.3% on the same vial is normal.

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comment on 19 months in and purity is still the thing I get wrong in c/coa · 182 points · 10 months ago

axis labels included, always

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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