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Treatments are delivered by licensed nurses under medical direction using pharmaceutical-grade formulations

The table lists a history of pancreatitis as a relative contraindication, chronic diarrhea or IBS as symptoms that may worsen, elevated liver enzymes as requiring baseline labs, and a family history of medullary thyroid cancer as an absolute contraindication under FDA labeling

Petrov AM, Kasimov MR, Zefirov AL

For example, Hims notes in the quickly disappearing fine print of its TV commercial that products featured in the ad include compounded products that have not been approved by the FDA. Among the compounded ED products Hims sells is a chewable made with sildenafil and tadalafil, the active ingredients in FDA-approved ED drugs Viagra and Cialis, respectively