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A compound pharmacy purchases the active ingredients themselves create their own compounded versions of GLP-1s

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Circulation 99:29342941 Anselmi A, Abbate A, Girola F, Nasso G, Biondi-Zoccai GG, Possati G, Gaudino M (2004) Myocardial ischemia, stunning, inflammation, and apoptosis during cardiac surgery: a review of evidence

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10.1016/j.abb.2008.08.001