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The mirror is starting to agree
The FDA recommends compounded drugs only when FDA-approved drugs cannot meet a patients medical needs, and emphasizes using a state-licensed pharmacy with a prescription from a doctor (FDA guidance for patients and providers)
Nevertheless, excessive loss of functional muscle remains a legitimate concern, particularly in: Adults over age 50 Patients beginning with low muscle mass Postmenopausal women Patients consuming very little protein People who do not perform resistance exercise Patients losing weight very rapidly People with chronic illness, physical limitations, or prolonged inactivity Patients who repeatedly increase medication despite inadequate nutrition The goal is therefore not to prevent every change in measured lean mass
However, these medications should not be used by anyone with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
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