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Diabetes Care, 39 (2), 231241

They're not FDA-approved, but they're easy enough for somebody to buy from a factory in China and set up a storefront on the internet and hire an influencer to make a video talking about the amazing outcomes that you're going to get and start selling these things. You bought peptides online from one of these Chinese factories

If the liquid inside the pen has frozen or looks cloudy, do not use it and speak to your doctor or prescriber

(which operates as DirectMeds) Location: Bluffdale, UtahStore Website: Letter Date: September 9, 2025FDA Department issuing Warning: Center for Drug Evaluation and Research (CDER)Types of Products Sold: Prescribes and sells compounded semaglutide, tirzepatide and other compounded productsType of Warning: Unlawful Sale of Unapproved and Misbranded Drugs to United States Consumers Over the InternetFDA Warning: The website makes false claims about compounded drug products, including: Same active ingredient as Ozempic and Wegovy and Clinically proven ingredients. The claims imply that the products are the same as an FDA-approved product when they are not