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By early 2026, FDA had publicly announced enforcement actions against multiple compounded GLP-1 telehealth platforms, and in April 2026 formally proposed removing semaglutide, tirzepatide, and liraglutide from the 503B outsourcing bulks list - with a public comment period running through June 2026
Some patients that we have worked with in the past shared with us that they had been eating significantly larger portions of their meals prior to taking the weight loss injections semaglutide or tirzepatide and thought they needed to continue eating the same amount of food to fuel their body, even though the medication suppressed their hunger and they felt fuller for a significantly longer period of time
Sockalingam stressed that, as treatments become more accessible, other supports must be strengthened in concert, noting that risks associated with obesity medications include eating disorders and mental-health problems.
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