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Of these, roughly: Street pharmacies (about 60%) are chain or independent retail pharmacies that have accreditation to dispense specialty drugs (though many of these locations are not mail-order per se, they may do some mailing)

For those with type 2 diabetes, particularly when combined with other diabetes medications, GLP-1's may increase the risk of hypoglycemia (low blood sugar)

Alpha-lipoic acid improved anemia, erythropoietin resistance, maintained glycemic control, and reduced cardiovascular risk in diabetic patients on hemodialysis: a multi-center prospective randomized controlled study

doi: 10.7326/M15-1432 41

The key is managing expectations: these are supportive tools, not pharmaceutical replacements

Likewise, people with bulimia may be tempted to use medications like Ozempic to avoid weight gain associated with binge episodes, replacing purging behaviors with pharmaceuticals