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ForumsTirzepatide (Mounjaro / Zepbound)Compounded tirzepatide — current market analysis Page 4

Compounded tirzepatide — current market analysis

KevinCompounds Thu, Jun 4, 2026 at 8:29 AM 23 replies 432 viewsPage 4 of 5
Dr.ObesityMed
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Jun 5, 2026 at 12:48 PM#16

Clinical perspective, offered as context rather than as advice. Take it one variable at a time. Almost every unanswerable question in these threads is unanswerable because three things changed in the same fortnight, and no amount of subsequent argument can untangle them after the fact.

25 0EndoResFellow, PharmacoVig_BOS, SurmountFan_IN and 22 others
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sean_dublin
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Jun 5, 2026 at 4:21 PM#17

From the other side of the consultation, briefly. The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either. Those three things can all be true at once, and most arguments here are two people holding different parts of that.

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HPLC_Greg
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Jun 5, 2026 at 7:54 PM#18
sean_dublin said:
The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either.

Agreed, and the enforcement dates were staggered by category — 503A first, 503B a few weeks later — because outsourcing facilities have manufactured inventory and clinic contracts to unwind while a 503A makes to order.

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james_edin
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Jun 5, 2026 at 11:28 PM#19
sean_dublin said:
The honest answer is that the effect is real, the magnitude is contested, and the individual variation is larger than either.

Coming at sean_dublin’s question from a different direction. Resolution therefore closed the doors unevenly, and the asymmetry follows from the bulks lists. For 503B the shortage clause was the only route to these molecules, so that route shut completely. A 503A pharmacy can still argue a doorway via "component of an approved drug" — but only for the substance in the form present in the approved product, which is exactly where the base-versus-salt argument lives, and it does nothing about the copy restriction, which came back into force on resolution.

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paul_denver
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Jun 6, 2026 at 3:01 AM#20

Moderator note: two posts asking for a source have been merged into one. Please search the thread before asking again. Thread quality here is what the rules are for. Keep it up.

Last edited: Jun 6, 2026 at 9:01 AM
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