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Navigating the Changing Landscape of Compounded GLP-1 Medications: A State-by-State Update In this episode of The Downsized, Christopher Durham follows up on recent developments impacting access to compounded GLP-1 medications like Tirzepatide and Semaglutide. Christopher begins by recounting the live session with attorney and TikTok creator Lee fits in, who discussed the state regulations emerging in Nevada, Georgia, and Ohio. These regulations, spurred by changes in federal law and backed by court rulings, are restricting the compounding and distribution of these medications. In Nevada, a pharmacy board notice has banned compounded GLP-1s due to the FDA removing Tirzepatide and Semaglutide from the shortage list. The Georgia Board of Nursing circulated a letter from Eli Lilly stating that compounded Tirzepatide is illegal, leading to uncertainty among nurses and nurse practitioners. In Ohio, several med spas and pharmacies have been shut down due to violations, including unsafe practices and mislabeling. Nationally, pharmaceutical giants Eli Lilly and Novo Nordisk are launching lawsuits to halt the practice of compounding GLP-1 medications, arguing against their legality post-shortage list removal. Christopher emphasizes that these compounded medications have significantly helped him and his wife lose weight and manage comorbidities. He advises patients to proactively discuss options with their doctors, consider stocking up within legal limits, and explore branded alternatives if compounded medications become unavailable. Christopher urges the manufacturers to lower their prices to eliminate the need for compounded alternatives and to build trust and loyalty among patients. The episode underscores a critical juncture in the battle for accessible and affordable healthcare, particularly for those dependent on GLP-1 medications for obesity. DOWNSIZED GLP-1 COMPANION PRODUCT STORE: https://thedownsized.org/downsized-store Join CLUB DOWNSIZED: https://www.youtube.com/@thedownsized/join DOWNSIZED WEBSITE: https://thedownsized.org/ FOR SPONSORSHIPS, BRAND DEALS & COLLABS: https://thedownsized.org/contact/ 00:00 Introduction and Overview 01:52 Nevada's Ban on Compounded GLP-1s 03:09 Georgia's Response and Concerns 04:39 Ohio's Enforcement Actions 06:51 Legal Backdrop and Federal Lawsuits 09:00 Advice for Patients 11:24 Message to Manufacturers 13:58 Conclusion and Community Support

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