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For prescribers writing complex multi-ingredient topical formulations, the difference between an accredited pharmacy and a non-accredited one is the difference between a verified formulation and a best guess

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The 503b pharmacies are regulated by the FDA, and some of them do contract manufacturing for pharmaceutical companies

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doi: 10.1038/s41586-021-04221-8 232 RidingRLHarrisJE

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NEJM (2016)

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Early identification through testing is important, as insulin resistance is largely asymptomatic until complications develop

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