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Multidose vials like compounded semaglutide are generally considered safe to use for up to 28 days after they are first punctured or opened when stored in the fridge or at a controlled temperature

While earlier GLP-1 drugs have decades of data behind them, newer high-potency agonists and multi-agonist combinations will require extended monitoring as their use expands

These formulations are not directly interchangeable with US Miralax, which contains PEG 3350 without electrolytes

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Health Canadas approval process requires that generics demonstrate bioequivalence to the original meaning the body absorbs and uses them in the same way