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Counterfeit pills could be a bigger medical problem, since they could have different purity, chemical alteration, and increased side effects. In early February, the FDA issued a warning about the distribution and use of compounded GLP-1 medications that are not federally approved
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Their biological activity depends on maintaining the correct three-dimensional structure of the peptide chain, which can be disrupted by inappropriate handling, incorrect pH, exposure to heat or light, or the use of incompatible diluents
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