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Brand-name Wegovy comes in pre-filled pens at fixed doses (0.25 mg, 0.5 mg, 1.0 mg, 1.7 mg, 2.4 mg)

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But federal law requires that in order for an active ingredient to be used in a compounded drug, it has to be pharmaceutical-grade and for many unapproved peptides, it is my understanding that there is no pharmaceutical-grade active ingredient available, said Scott Brunner, chief executive officer of the Alliance for Pharmacy Compounding

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They watch your progress and tweak your treatment as needed