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The regulation itself states that available data are inadequate to demonstrate the safety or efficacy of any drug product compounded using the substances listed there, or to establish general recognition of safety or effectiveness
Intramuscular injections are administered into the muscles
This is the same pathway semaglutide and tirzepatide use
Weighing the Risks: Small Bowel Obstruction Associated With Semaglutide Use in the [PMID: 40861748] Laboratory literature summary: Weighing the Risks: Small Bowel Obstruction Associated With Semaglutide Use in the Postoperative Abdomen
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