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Compounded semaglutide is a custom-made version prepared by a compounding pharmacy, sometimes in different forms or concentrations

The cost of obtaining necessary certifications, ensuring traceability, and conducting frequent audits adds to the financial burden on manufacturers

This gap has catalyzed significant R&D investment in muscle-sparing adjuncts, including myostatin inhibitors and ActRII pathway modulators that could be combined with GLP-1 agonists to preserve lean mass while maintaining fat loss efficacy

However, for the sake of customization, some people will inject all the peptides separately as this provides more flexibility with the dose of each peptide