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Even in states where Mounjaro is on the formulary, you don't get the medication until the PA is approved

It has a high affinity to GLP-1R, strongly activating the GLP-1R Gs cAMP pathway without inducing measurable -arrestin recruitment signaling, which indicates it is a fully biased agonist

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Each batch is produced according to the compounding pharmacy's own protocols, tested by their own quality control processes (or third-party labs they select), and released based on their own standards

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Periodic cycling (taking breaks) may be recommended to maintain pituitary sensitivity