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Compounding is the process of mixing, combining, and changing ingredients to create a new medication

That is, KDs have shown to be beneficial during a long duration ( 12 h), low-intensity ultra-endurance-type event, where mitochondrial beta-oxidation can match lower rates of ATP demand, whereas the combination of nutritional ketosis and high carbohydrate intake may confer performance benefits in endurance events of moderate intensity and durations of 8 h (54)

Some peptides may not mix well with certain immune drugs, steroids, or anticoagulants

10.1016/0920-1211(91)90062-k 51 Lucke-WoldB

In short, the side effects are mostly witnessed in the sensitive skin type

Compounded medications are prepared by licensed pharmacies based on individual prescriptions