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Description
As brand-name supply has partially recovered, some patients have continued using compounded formulations due to lower out-of-pocket costs, faster prescription turnaround, and dose customization options

doi: 10.1016/S0140-6736(14)60976-4 232 HannonTSArslanianSA
The exact mechanism for this difference is still being studied

This mismatch between intended pharmacokinetics and actual absorption can lead to stronger initial effects, unpredictable appetite suppression timing, and potentially more pronounced side effects in the first hours or days after injection
