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Individuals with personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia type 2, or severe gallbladder disease require careful discussion with their provider before starting

Endocr J 64(7):663673

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Under a 1997 law, the first passed by Congress to regulate the industry, compounders can only use ingredients that are a component of an approved drug, have whats known as a USP monograph (essentially a third-party certified recipe for a drug used mainly by manufacturers of generics), or are listed as approved substances by the FDA