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This situation has become more common as regulatory oversight tightens around compounded weight loss medications

Injectable options include FDA-approved branded medications (Wegovy, Zepbound) and compounded injectable versions available through telehealth platforms

The FDA issued a warning letter to a Florida manufacturer of tattoo numbing sprays for marketing unapproved and misbranded lidocaine-based topical anesthetic sprays and for failing to comply with CGMP requirements, particularly around product testing, raw material verification, stability data, and manufacturing controls

This growing prevalence and its systemic impact create a substantial global health burden [7,8,9]

Fatigue and fatigue-related symptoms in patients treated for different causes of hypothyroidism

Ottridge R, Mollan SP, Botfield H, Frew E, Ives NJ, Matthews T, Mitchell J, Rick C, Singhal R, Woolley R, Sinclair AJ