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Compounded semaglutide is prepared as needed for a patient or in small quantities at a compounding pharmacy

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Serious cardiovascular events, QT prolongation, ventricular arrhythmias, and torsade de pointes, have been observed in patients receiving ketoconazole oral tablets in combination with other QT-prolonging drugs

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Microdosing, by contrast, may start at 0.1 mg or use an extended titration schedule that takes 12+ weeks to reach therapeutic levels

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