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While adding an ingredient changes the formulation, the FDA guidance states that a compounded drug is still essentially a copy unless the change produces a significant clinical difference for the patient

Budgeting for the Long Term: Patients report factoring in the cost of ongoing treatment, as maintaining weight loss typically requires continuing the medication

I couldnt help but be reminded of the many diets I was on with my mother as a form of bonding, or the various programs I did on my own with her encouragement