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7 STEP 4 evaluated semaglutide 2.4 mg in 902 participants, all of whom received the drug for 20 weeks and then were randomized to either placebo or semaglutide for an additional 48 weeks

For patients, this distinction means branded products carry FDA-tested stability data and formal adverse event monitoring, while compounded options may offer cost savings and access to qualified providers in states with robust compounding oversight

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Public materials do not describe approval as automatic or guaranteed based on questionnaire completion

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