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After tirzepatide came off the FDA shortage list and compounding wound down in early 2025, compounded tirzepatide now requires a documented personalized-dosing need rather than being available simply because it is cheaper or more convenient
NAFLD encompasses a continuum of pathological changes, ranging from simple steatosis (non-alcoholic fatty liver, NAFL) to nonalcoholic steatohepatitis (NASH), then progressing toward fibrosis and ultimately leading to hepatocellular carcinoma and liver failure
That appears to be exactly what happened here
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