Properly refrigerated compounded semaglutide from licensed 503A pharmacies typically remains stable for the duration specified by your pharmacyusually matching your treatment cycle or prescription validity period
And yes, you can lose significant weight with them
The compounding-relevant chronology is also part of the public record: in February 2025 the FDA issued a declaratory order resolving the previously declared shortage of semaglutide injection products, with enforcement-discretion periods for 503A and 503B compounding concluding later that spring [8]
Current guidelines from the American Diabetes Association and European Association for the Study of Diabetes recommend combination SGLT-2 inhibitor plus GLP-1 RA therapy for patients with T2DM and established cardiovascular disease or high cardiovascular risk, based on additive cardiorenal benefits [20,21,22,23]
On a related note, if you are taking medication for other health conditions, discuss sleep problems with your doctor
Pratley RE, Aroda VR, Lingvay I, Ldemann J, Andreassen C, Navarria A, Viljoen A, SUSTAIN 7 investigators