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[6] With Foundayo, Wegovy, and Zepbound all readily available in 2026, the prior shortage rationale for compounding has largely disappeared
Exenatide, a twice-daily formulation (exenatide twice daily), was developed based on exendin-4, which is derived from the saliva of the American poisonous lizard (Gila monster) and shows 53% homology to human GLP-1 [35]
Compounding is also allowed when patients need customized doses not available commercially or when they have allergies to inactive ingredients in brand-name formulations
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