🚨BREAKING: FDA Gives *NEW* Guidance on Tirzepatide Zepbound Compounds!

[@deonandmichellecandia8285]

Eli Lilly needs to have regulations on how much they can charge. Hopefully US will get on board and not allow this price gouging in our country.

[@PureMagma]

There needs to be an 800 phn number that a pharmacy ca call and enter a 3-5 digit code that automatically logs an unbiased report of a medication that is in short supply. Sort of a checks and balances method of accountability!

[@Miki-on9ns]

It makes no sense how hard insurances fight to not pay for these meds. In the long run they will pay more for health related issues that will show up later

[@sallysmack9372]

So we live to breathe another day (maybe). I appreciate knowing that if anything has changed in the world of GLP1 drugs (and it seems to change almost daily), I'll likely get that news from you first. Compounded tirzepatide is literally my lifeline. When it is no longer available I don't have a Plan B to fall back on. I didn't respond to semaglutide, at least at their starting dose. I often tell my husband that I wish I would have been born 50 years later, since being a newborn in 2003 makes me twenty-one years old today, which would have meant having time on my side. Thank you for the outstanding service you do for our community.

[@ManOnTheMounjaro]

Wishing you all the best. The anxiety around this stuff is a lot. ❤️

[@actuallywhatimeant2583]

Start listening to Ben Bickman, Eric Berg, Stan Ekberg, Al about insulin resistance and keto and intermittent fasting. So much good science. Happy you can have GLP help for now!

[@djbosnick1072]

Yeah I've also said I wish I'd had this medicine as a youngster! In so many ways it could've made my life healthier!! Good luck and Godspeed to all of us compound users, and I hope that Lilly will reconsider the cost for Americans using branded meds, and #releaseALLthevials!!!! #Pbmreform #reporttheshortage

[@caddygirl4ever]

Thanks for keeping this community informed! Appreciate all that you do.

[@ManOnTheMounjaro]

Thank you for thanking me ❤️

[@SpeedNoodles]

Sad that the insurance companies would rather pay for the effects of poor health than the cost of medication that would prevent the problems. It's extremely short sighted.

[@ManOnTheMounjaro]

Agreed

[@clarissamck]

Probably because it causes more medications for one to be prescribed as opposed to one to help the problem. Just my guess , who really knows.

[@clarrison01]

Thanks!

[@ManOnTheMounjaro]

Thank you!!

[@elizabethbagwell3795]

Hallandale was not selling now I see they are for now.. so we will see... Thanks for keeping us updated

[@tash8308]

Hallandale is selling again? How do you get your meds from them?

[@ManOnTheMounjaro]

My pleasure

[@stephanieoraka]

Hallandale isn’t strong I can tell the difference in other compounding companies

[@elizabethbagwell3795]

@@stephanieoraka that's what I'm hearing too 🤯

[@Blu79Angel]

Thank you for always being on top of keeping us informed! You are the greatest Dave!

[@ManOnTheMounjaro]

Too kind, thank you

[@lisabeek8868]

Thank you for keeping us updated!

[@ManOnTheMounjaro]

Thanks for wanting to be updated :)

[@annahoover5296]

Thank you Dave for sharing.

[@KoleyKole]

Great reporting!

[@ManOnTheMounjaro]

Thank you

[@allieh66]

Thank you for the update ❤

[@ManOnTheMounjaro]

My pleasure :)

[@annahoover5296]

Happy friday Dave

[@simmonskelly70]

The compounds have been available for the past few days! I just ordered compound Trizepatide.

[@ManOnTheMounjaro]

Good deal!

[@gablovesplantssydney]

Dave, have you heard that some of the compounders are now offering smaller doses of the drugs. Like instead of 15 mg they are offering 11.25 mg to get around the 10% rule. People have reported that they were on 5 mg and they’re now being sent 4.25 mg as a dose. It seems people are not very happy about this. I don’t know if the drugs are cheaper but I suspect they’re probably not. For everyone else, if you’re still getting your drugs from compounders, ask them what dose they’re actually sending you. Apparently some have been sold the line that they are adding extra ingredients which is why they are reducing the amount of medication in the dose. There was also a woman who said that the price has gone up from $299-$500 and she could not afford the $500.

[@ManOnTheMounjaro]

Per compounding regulations, offering doses that aren’t commercially available would be a way that compounds can be prescribed legally when there is no shortage, similar to adding B12 or something like that. Whether Docs will mass prescribe them, 🤷‍♂️.

[@gablovesplantssydney]

@@ManOnTheMounjaro yes I know. The interesting thing is people are reporting that they are putting in their scripts for the normal doses but are being told they are getting smaller doses. This would not be allowed in Australia. I don’t know about American prescribing rules but here whatever the doctor puts on the prescription is what the pharmacy needs to prescribe to the letter. So now that we switched to pens I had to get new scripts for my MJ because they were scripts for the vials. Pharmacist cannot just swap around and do what they want. I’m only getting this news secondhand so I don’t know if the doctors are prescribing lower doses. That would obviously be legal but, if the pharmacies are just giving a smaller amount of drugs that’s a huge red flag to me. Also, I saw a very interesting discussion about a weight loss Clinic where they said that some of these compounders were having less active ingredient in their drugs and not telling their patients. so only 85% pure drug and the rest was fillers. I’m not suggesting this is the big players, but this Doctor said that some of his patients (and he provides both compound and name brands) found great differences in the potency of the medication.

[@ManOnTheMounjaro]

I think pharmacies and telehealth both are trying to do everything in their power to make sure patients continue to get care, and trying to do so in a way that ensures they don’t get sued into oblivion… However, patients should always be informed and should have ability to discuss their options with a provider, IMO

[@lauravocalssprinkles5002]

Can you do a video on why I can’t seem to get compounded trizepitide in CA???😡

[@lisaa3548]

I’m in California - I have been ordering through Remedy Meds & just got my most recent vial sent about a week ago. It comes from Red Rock Pharmacy in Utah. Hope that helps!

[@virginias98]

If you’re using telehealth for your Rx, check to make sure they’re licensed to prescribe in CA. Not all are.

[@lauravocalssprinkles5002]

@@lisaa3548 I’ll give them a try, thank you!

[@MindyMikami]

It will be interesting to see what Lilly’s next move is. 🧐

[@ManOnTheMounjaro]

It’s going to be wild

[@vanessaebony529]

Thanks for the update Dave! Any news on semaglutide that you know of?Because wegovy has been on shortage for going on 3 years soon.

[@ManOnTheMounjaro]

Compound Semaglutide is safe as Novo has maintained the starter dose in shortage

[@vanessaebony529]

@@ManOnTheMounjaro Okay good!

[@gregryczek807]

What stock is that?

[@mimig8438]

Once someone's BMI is

[@virginias98]

It really depends on your individual insurance policy. Different policies have different stipulations.

[@SpeedNoodles]

My insurance company doesn't cover Zepbound at any BMI. They'd rather pay for the health problems later than for the medication that would help prevent it.

[@mimig8438]

You would think that regardless of BMI if insurance company isn't paying and patient pays cash then any BMI should be allowed. Their new branded vials are about $400 which is a lot but still better than nothing

[@SpeedNoodles]

@@mimig8438 I'll have to look into that.

[@virginias98]

@@mimig8438 if insurance isn’t involved and therefore not paying it’s up to the prescriber to decide if they want to prescribe “off label” for a lower BMI. I can guarantee you that some Hollywood doctors/medspas don’t care what the BMI is.

[@MoxieRoxy3]

Why are we only talking about compounds? Why isn’t this community speaking about the insurances and what they are now requiring in the upcoming year! We need to be talking about how the insurance companies are screwing everyone. Compounding will only last a certain amount of time. We need to be talking about PBMs insurance and how much this medication is costing.

[@ManOnTheMounjaro]

Come on Roxy, you know I talk about PBMs and PBM reform a lot… :)

[@MoxieRoxy3]

@@ManOnTheMounjaro yes you do I can’t say you don’t. I guess there is just so many people talking about compounds and it seems like that’s all they want to talk about. This is a problem that affects everyone not just people on compounds.

[@MoxieRoxy3]

This is not directed to anyone it’s just me ranting about this whole mess. It frustrating.

[@pauld315]

We have gotten here because the FDA just blindly trusted Eli Lilly instead of actually doing their job.

[@glp1realtalk]

❤❤❤❤

[@cxvzf]

😮

[@msmong123]

deceased and assist letters are nothing they would send 2 more and then they would take action by then it will be December. I used to watch the channel for news now I feel like someone just trying to be very dramatic.

[@MoxieRoxy3]

There is currently not a shortage, I’ve been getting my medication every month no problem. How could there be, everyone is on compound.

[@ManOnTheMounjaro]

There are likely less than 1 million people on compound tirz and 75,000 new branded Zepbound users weekly

[@lisaa3548]

I’m in another community too where some people are able to and some aren’t. It’s a regional thing. When I was trying to get Monjouro just a couple months ago my pharmacy flat out told me it was likely it would be a month to month basis on whether I would or wouldn’t have access to it. One of the reasons I went the compounding route (& costs my insurance doesn’t cover it). It’s great you have been able to get yours though you’re lucky! 😊

[@gablovesplantssydney]

@@ManOnTheMounjaro there’s a doctor with a channel called a pound of cure and in one of his latest videos he says there are likely 2 million people on compounded med in America. He has very interesting things to say. You might want to get him on your program. he runs a weight loss Clinic, he is a surgeon, and he has people on both compounded and brand-name medications so he knows a bit about the subject.

[@msmong123]

deceased and assist letters are nothing they would send 2 more and then they would take action by then it will be December. I used to watch the channel for news now I feel like someone just trying to be very dramatic.