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Thats why I am alarmed by the rapid spread of a dangerous gray market of counterfeit and illegally compounded GLP-1 medications and active pharmaceutical ingredients

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Alarmingly, many of the same antimicrobials most frequently implicated in clinical ADRs, such as sulfonamides, fluoroquinolones, and cephalosporins, are also among the most detected pharmaceutical contaminants in environmental media including surface waters, sediments, and soil [107].The intersection of pharmacological toxicity and environmental contamination presents a complex and serious public health dilemma [100]