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Potential concerns: Not all compounding pharmacies meet FDA safety standards Doses and formulations may differ from branded versions Telehealth consults can be rushed or incomplete Ongoing cost can be far higher than expected While these services may be legal, they are not without risks, especially for individuals with co-occurring mental health disorders

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Waiting less than 30 minutes, or taking with food, beverages (other than plain water), or other oral meds can decrease the effectiveness of Rybelsus

payment or honoraria from Eli Lily, NovoNordisk, and Bayer