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There may be legitimate circumstances where compounding is discussed, but patients should understand sourcing, dosing, regulatory status, quality control, and safety risks before using any product advertised online

4 The second A1C tier between 7.6% and 9.0% lists the use of a GLP-1 analogue or metformin as initial treatment or later as a component of triple therapy

That is the reason why it is safe to use that within that period and not beyond that