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(Compounders are required to follow regulations about manufacturing, but the drugs they produce are not FDA-approved.) Noorian, a former mechanical engineer, founded Empower Pharmacy in 2009 after using a compounded medicine to treat his own low testosterone at age 24

While the vast majority are compliant and very safe, he said, the small number of spas that allow unauthorized procedures and employ unlicensed workers keeps him up at night. There is a bit of an underbelly to this industry, where youve got folks who should not be doing the treatment that theyre doing, Thiersch said

The critical safety concern is seizure risk : bupropion lowers the seizure threshold

The list also includes Vertex Pharmaceuticals combination therapy for cystic fibrosis, Trikafta or Kaftrio

PMID: 35350465 Sikirica V, et al

Your provider can also order biomarker testing to assess your gastric acid production and reflux risk profile