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They are counted and sized by automated particle counters (light obscuration or membrane microscopy per USP ), not by holding the vial up to a light

DEXA scans are the gold standard for body composition measurement

Buyer takeaway: if you live in one of the ten states listed above, ask directly at intake which pharmacy will be filling your prescription and whether that affects which of the four GLP-1 formulations are actually available to you - since injectable (sterile) compounds specifically require the pharmacy licensed to handle sterile compounding

Waldrop et al., Inequalities in the provision of GLP-1 receptor agonists for the treatment of obesity, Nature Medicine (January 2024), 2225

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