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Its very unusual to see the extended shortage of a multi-billion dollar drug, leading to the funky dynamics were seeing DTC telehealth players (and in-person med spas, other wellness facilities) want to maximize their economics by expanding access to acquire/grow subscriber bases

doi: 10.1002/phar.2086

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Such practices by clinics subvert the very rationale for the existence of compounded medicines, which is to meet specific needs that industrialized medicines cannot address (such as dose adjustments, allergies to excipients, or alternative pharmaceutical forms)