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Most compounding pharmacies assign a beyond-use date (BUD) of 28 to 90 days from compounding for refrigerated vials

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Compounding pharmacies have existed for decades, creating customized medications when patients need different doses, formulations, or combinations than whats commercially available

Weeks 116 (dose escalation) are typically when nausea, vomiting, and diarrhea are most prominent

There is no question that generic manufacturers are preparing for launch as soon as the Novo data exclusivity expires in January 2026