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What people call semaglutide is actually actually compounded semaglutide made by compounding pharmacies, not a true generic approved by the FDA

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doi: 10.1016/j.bbrc.2013.06.035 32 ShirakiAOyamaJKomodaHAsakaMKomatsuASakumaMet al

IGF-1 LR3 is a synthetic analog The IGF-1 gene can be alternatively spliced to produce several isoforms that share the mature IGF-1 core but differ in their C-terminal E-peptide extensions