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The firms own SOP states that OOS results must be immediately reported to Quality and the pharmacist-in-charge, and that investigation, root cause analysis, recall, and customer notification procedures shall be followed when applicable. The FDA pointedly notes that the when applicable language effectively makes investigation and notification optional rather than mandatory

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You get prescriptions, check-ins, and insurance billing, but zero habit tracking or lifestyle guidance

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Reduced counterregulatory responses to low blood sugar are also a factor