doi:10.1210/en.2018-00004 83
Mansur R, Ahmed J, Cha D, Woldeyohannes H, Subramaniapillai M, Lovshin J, et al
Schmidt, MD, chief of bariatric surgery and director of the Center for Weight Loss and Metabolic Health at Hackensack University Medical Center in New Jersey, agreed about it not being safe to use the golden dose. Medical experts do not recommend this and the (Mounjaro) drug maker has warned that the process of breaking into the pens is not clean and could put users at risk of harm including infection due to potential bacteria, an abscess, (and) if an abscess is left untreated, it could progress to sepsis. And Ali said as the GLP-1 injector pens are normally designed to stay sterile for only four weeks
Ask which pharmacy compounds it, confirm the licence with your state board, and confirm that the base form rather than a salt form is used
Before-and-after photos and community reports are anecdotal