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The medication may reduce the effectiveness of oral contraceptives, particularly during initiation and dose increases, so use non-oral or barrier contraception for 4 weeks after starting and after each dose increase

Journal of the European Academy of Dermatology and Venereology

Compounded semaglutide and compounded tirzepatide injections contain the same ingredients as their factory manufactured brand names, but they are made either by a licensed pharmacist or under supervision of someone with these credentials