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Microdosing is taking much smaller amounts than the standard starting dose, sometimes just a fraction

Compounded medications are legal under Section 503A of the Federal Food, Drug, and Cosmetic Act when: A licensed provider writes a patient-specific prescription The medication is prepared by a licensed compounding pharmacy The medication is not a copy of a commercially available product, OR the commercial product is on the FDA drug shortage list As of April 2026, tirzepatide remains on the FDA drug shortage list (added December 2022, extended through Q2 2026), which allows compounding pharmacies to prepare tirzepatide formulations legally

But the broader physiology of the person may deserve a more central place in our clinical reasoning

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Quotes from August Wilsons plays decorate the stone wall at the August Wilson Park