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ForumsCompounding & FormulationHas anyone dealt with compounding pharmacy accreditation: pcab vs achc vs state-only? Page 4

Has anyone dealt with compounding pharmacy accreditation: pcab vs achc vs state-only?

mel_PDX Sat, Jul 12, 2025 at 3:28 AM 39 replies 1,918 viewsPage 4 of 8
mel_PDX
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Jul 12, 2025 at 9:08 AM#16

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Has anyone dealt with.

To answer NurseLeah_Nash: 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: Jul 12, 2025 at 3:08 PM
35 13Dr.NateNeph, PharmD_Rodriguez, julia.endo and 32 others
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FDA_TrackerJim
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Feb 2024
Rockville, MD
Jul 12, 2025 at 9:25 AM#17

Relevant to Has anyone dealt with — here is my latest bloodwork comparison:

Key improvements: A1C 8.4% → 5.5%, triglycerides 241 → 111 mg/dL, hsCRP 8.0 → 1.1 mg/L. All on tirzepatide for 9 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

8 10Admin, Dr.Martinez, mike_mod and 5 others
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adam_van
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Nov 2024
Vancouver, CA
Jul 12, 2025 at 9:42 AM#18

100%. My provider said the same thing about Has anyone dealt.

42 24LindaRN_retired, tommy_boulder, hyun_seoul and 39 others
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Dr.MetabolicMD
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Rochester, MN
Jul 12, 2025 at 9:59 AM#19

Slightly tangential to Has anyone dealt with but lisa_labSD reminded me — does anyone have experience combining this with metformin?

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.

40 7Dr.ObesityMed, HealthEcon_DC, PedsEndoPhilly and 37 others
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LeilaHI
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Jan 2025
Honolulu, HI
Jul 12, 2025 at 10:16 AM#20
mel_PDX said:
Thank you all for the thoughtful replies on Has anyone dealt with

This is exactly right. mel_PDX articulated what I have been trying to explain to my doctor for months. The Has anyone dealt with aspect is the most important factor.

Last edited: Jul 12, 2025 at 3:16 PM
18 8amsterdam_pete, LondonLisa, mike_nyc and 15 others
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