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This guide explains what patients and providers must understand in 2026: the 503A versus 503B distinction, the new Texas sterile compounding rules, the GLP-1 shutdown, PBM reform, the USP standards behind every compound, and how to identify a trustworthy compounding partner
After excluding individuals with pre-existing neurodegenerative or cerebrovascular disease, the study compared 30,430 patients using GLP-1RA therapy (semaglutide or tirzepatide) with 30,430 patients prescribed other antidiabetic agentsincluding biguanides, sulfonylureas, dipeptidyl peptidase 4 inhibitors, and sodium-glucose cotransporter 2 inhibitorsusing propensity score matching to control for baseline differences