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In addition to claims that compounded GLP-1s infringe on pharmaceutical companies' patents, the FDA expressed concern that because the administration doesn't regulate compounded drugs, these versions may not be as safe as the brand-name GLP-1s and could carry a risk of improper dosing

Determination of liraglutide in rat plasma by a selective liquid chromatographytandem mass spectrometry method: application to a pharmacokinetics study

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Quick Answer: There is no official contraindication to taking ashwagandha with semaglutide, but clinical data on their combined use are lacking and patients should consult their healthcare provider before combining them