This is a fast-moving area, so here's an honest breakdown: Current Situation (as of early 2025) The FDA declared the semaglutide shortage over, which restricted most compounding of GLP-1s like semaglutide (Ozempic/Wegovy). Services Still Operating (with caveats) Hims & Hers - Pivoted to personalized/combination compounds, though facing ongoing legal/regulatory pressure Empower Pharmacy & similar 503B compounders - Some still supply through providers for "clinical need" cases Sublocade/specialty clinics - Some independent telehealth providers still work with 503A compounding pharmacies for documented individual cases Important Honest Notes The landscape changes weekly - what's available today may not be tomorrow Many services claiming to offer compounded semaglutide may be operating in a gray area Tirzepatide (Mounjaro/Zepbound) shortage status has been separate - check FDA's current shortage list Some providers are shifting to oral semaglutide or branded alternatives My Recommendation Check r/Semaglutide or r/Ozempic communities for real-time user experiences, and verify any provider's pharmacy is an FDA-registered 503B facility. Want info on alternatives like branded medication access programs?
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