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When rheumatologists use them for inflammatory arthritis, it is considered off-label prescribing a legal and common practice when supported by emerging clinical evidence and individualized patient need

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Some areas, like blood sugar control and weight loss, are well established

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Instead, the FDA maintains something called the Section 503A bulk list, which is exactly what it sounds like: a list of bulk drug substances that licensed 503A compounding pharmacies are legally permitted to use when compounding a preparation against an individual patients prescription

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