Feb 8, 2026 at 3:56 PM#11
lisa_labSD — wow. This community is amazing.
3 18pam_stl, wei_SG, cory_ATX
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Feb 8, 2026 at 4:13 PM#12
Slightly tangential to International compounding but Admin reminded me — what is the latest on the oral formulations?
I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.
16 6Dr.AddMedPHL, newstart_MO, mia_MS2 and 13 others
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Feb 8, 2026 at 4:30 PM#13
Thanks for sharing this, Admin. A few questions about your International experience:
- What dose are you currently on?
- How long before you noticed significant changes?
- Did your doctor have any specific recommendations about International?
I am in a similar boat and trying to learn from others' experiences before my next appointment.
42 4SkepticalSean, Dr.CardioMD, EndoResFellow and 39 others
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Feb 8, 2026 at 4:47 PM#14
OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on International compounding.
To answer DoseLogDan: yes, I am on compounded sema from a 503B pharmacy.
Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏
Last edited: Feb 8, 2026 at 8:47 PM
2 2BiostatsBrad, PeptideSynthNJ
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Feb 8, 2026 at 5:04 PM#15
Relevant to International compounding — here is my latest bloodwork comparison:
Key improvements: A1C 8.4% → 5.5%, triglycerides 225 → 95 mg/dL, hsCRP 8.0 → 1.3 mg/L. All on tirzepatide for 17 months.
The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.
11 15claudia_zurich, nancy_portland, rick_sfbay and 8 others
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