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Licensed compounding pharmacies typically: 2 3 source pharmaceutical-grade active ingredients from qualified suppliers prepare medications in sterile facilities follow quality-assurance procedures employ licensed pharmacists operate under state oversight and FDA inspection That oversight also matters to consumers

This combination increases the likelihood of respiratory depression and hypotension, potentially resulting in synergistic adverse effects (128, 276, 277)

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They may also be used for diabetes, hypogonadism, and metabolic disorders

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