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In September 2025, the FDA reported instances of compounded GLP-1 products containing unapproved foreign substances and companies selling drugs to consumers that were falsely labeled for research purposes. A 2024 report also found that many active pharmaceutical ingredients for compounded GLP-1s were imported from unregistered foreign suppliers, raising questions about supply chain oversight

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Caution is advised when engaging in potentially hazardous activity such as driving or operating machinery while taking phentermine

However, some patients report cramping, likely due to indirect factors such as electrolyte disturbances or rapid weight loss rather than direct drug effects

For a full breakdown of how Mounjaro is approached in pregnancy, see our companion guide on Mounjaro in pregnancy