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503A compounding pharmacies compound according to specific patient prescriptions and are required by state boards of pharmacy to comply with standards. Because of the popularity and high demand of GLP-1 medications, Mir Ali, MD, bariatric surgeon and medical director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center in Fountain Valley, CA, worried this may drive some people to purchase their medication through a potentially unsafe option

Vitamin B6 is required as a cofactor, and serine is also used