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If a vial arrives damaged, the purity does not match the COA, or the product is clearly defective, reputable vendors replace it

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MEDVi also discloses that it does not produce compounded medications directly, and that the medication you receive may look different from what is shown on the company's website

Compounded tirzepatide has also become available through licensed medical weight loss providers during periods when brand-name supply was limited, though availability and regulations in this area continue to evolve