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Neither renal composite 1 (40% eGFR decline, RRT, or renal death) nor composite 2 (composite 1 variables plus macroalbuminuria) was reduced by exenatide in unadjusted analyses

BMC Neurosci (2012) 13:33

Compounding pharmacies are intended to create personalized versions of FDA-approved medications to meet unique patient needs that cannot be met through the mass-produced brand-name medications

The FDA has previously warned consumers about using compounded versions of FDA-approved medications

Tirzepatide's prescribing information includes a boxed warning regarding thyroid C-cell tumors, based on rodent studies showing dose-dependent and treatment-duration-dependent increases in thyroid C-cell tumors
