Which telehealth services still offer compounded GLP-1s after the FDA crackdown?

Following the FDA's recent actions regarding compounded GLP-1 medications, some telehealth services have indeed stopped offering them due to the increased scrutiny and potential regulatory challenges. However, some providers are still offering compounded versions, often with a focus on strict compliance and transparency.

It's important to understand that compounded GLP-1s are not FDA-approved and are made by mixing ingredients, not using the exact patented formulations of FDA-approved drugs like Ozempic or Wegovy. The FDA's concern stems from products that claim to be identical to these approved drugs but are compounded, as this can be misleading to patients.

When looking for telehealth services that might still offer compounded GLP-1s, here are a few general approaches and a couple of brands that have been known to offer them, keeping in mind that offerings can change rapidly:

General Approaches to Finding Services:

• Direct Inquiry: The most reliable way to find out is to directly contact telehealth providers that specialize in weight management or hormone therapy. Many have a disclaimer on their website about compounded medications, but it's always best to ask for the most up-to-date information.
• Focus on Services Emphasizing Compliance: Look for services that highlight their adherence to FDA guidelines and the regulations surrounding compounded medications. They may be more likely to continue offering these products while operating within legal frameworks.
• Consult Your Doctor: Even if a telehealth service offers compounded GLP-1s, it's crucial to discuss this option with your own healthcare provider. They can help you understand the risks and benefits and determine if it's an appropriate choice for your individual health needs.

Specific Brands/Services (as of my last update, but verify current offerings):

It's challenging to provide an exhaustive and definitively up-to-the-minute list because the landscape is constantly evolving. However, here are a couple of examples of services that have historically been associated with offering compounded GLP-1s, along with why they might still be doing so:

1. Join Union (formerly Invigorate Health):

   • Why: Union has been known for its focus on offering compounded weight loss medications. They often emphasize a comprehensive approach to weight management, including lifestyle coaching alongside medication. Their ability to continue offering compounded GLP-1s likely relies on their sourcing and formulation practices, aiming to stay within the FDA's current interpretation of compounding regulations. They often provide detailed explanations on their website about their compounding process and the ingredients used.

2. Compounded services through certain specialized clinics or platforms:

   • Why: Many smaller, specialized clinics or platforms that focus on weight management and bioidentical hormone replacement therapy (BHRT) might still offer compounded GLP-1s. These providers often have a deeper understanding of compounding pharmacies and the legal nuances involved. They typically work with specific compounding pharmacies that are compliant with state and federal regulations. Their continued offering would be contingent on their ability to source active ingredients that are either not on FDA recall lists or are otherwise legally permissible for compounding.

Important Considerations and Disclaimer:

• Rapidly Changing Landscape: The FDA's stance and enforcement are dynamic. What is available today might not be tomorrow. Always verify the current offerings directly with the service provider.
• Compounding is Not Generic: Compounded medications are not the same as FDA-approved generic drugs. They are custom-made for individual patients, and the FDA has expressed concerns when compounded drugs are marketed as identical to branded drugs.
• Ingredient Sourcing: The FDA has issued import alerts and warnings against certain ingredients used in compounded GLP-1s, particularly semaglutide and tirzepatide made from non-FDA-approved sources. Telehealth providers offering compounded versions need to ensure they are sourcing ingredients from compliant suppliers.
• Consultation is Key: It is paramount to have a thorough consultation with a licensed healthcare professional through the telehealth service. They should discuss the specifics of the compounded medication, its intended use, potential side effects, and alternatives.
• Your Own Doctor's Opinion: As mentioned, never forgo consulting your primary care physician or endocrinologist. They can provide the best guidance based on your overall health profile.

When researching, look for services that are transparent about their compounding partners and the ingredients they use. They should be able to provide clear answers to questions about sourcing and compliance.