Compounding pharmacy checklist — what to verify before ordering

The hair loss started around week 9 for me and I panicked. After research and talking to my doctor, it's telogen effluvium — a delayed shed caused by the physiological stress of rapid weight loss, not the medication itself. It slows down around month 4-5. Biotin and collagen peptides haven't hurt. Just wanted to share this so the next person isn't as scared as I was.

Have you tried injecting in the evening? That helped my nausea enormously.

I switched from Ozempic to Wegovy at month 4 and the main difference I noticed was the auto-injector. The pen is just much easier to use and I felt more confident with the dose delivery. Loss-wise I didn't see a dramatic change since it's the same molecule, but psychologically having a 'weight management' drug vs a 'diabetes' drug helped me stay committed. Cost-wise it evened out with my savings card.

The compounding question comes up a lot here. My take after 8 months: the quality varies enormously. The COA is your friend — if a vendor won't provide a third-party tested certificate of analysis, that's a red flag. I've had good results with a local 503B pharmacy that does quarterly testing.