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Hallandale Pharmacy, run by Pharmcore Inc., had a 2020 FDA warning letter that was closed out in May 2022, and a later inspection report from June 2025 that the FDA closed without enforcement in November 2025

Janumet XR is contraindicated in severe renal impairment, including an estimated glomerular filtration rate below 30 mL/min/1.73 m2

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Consumers should recognize that "GLP-1 probiotic" is primarily a marketing term rather than a distinct therapeutic class, and these products function fundamentally as probiotics with theoretical metabolic benefits that require further validation through rigorous clinical research

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