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The FDA has stated explicitly that "retatrutide and cagrilintide cannot be used in compounding under federal law." The reason is that retatrutide does not appear on the 503A bulks list, is not a component of any FDA-approved drug, and does not have an applicable USP or NF monograph

Johnson JA, Majumdar SR, Simpson SH, Toth EL: Decreased mortality associated with the use of metformin compared with sulfonylurea monotherapy in type 2 diabetes