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Red flags indicating questionable quality: Prices dramatically below typical compounded semaglutide costs ($99/month or less) Provider cant or wont name their compounding pharmacy No documentation of testing or certifications Medication arrives without proper packaging or cold shipping Unclear or missing instructions for storage and use Provider dismisses quality questions or gets defensive Warning signs of counterfeit or contaminated product: Medication looks cloudy, discolored, or contains particles Unexpected side effects significantly worse than typical Lack of expected effects (no appetite suppression, no blood sugar improvement) Injection site infections or unusual reactions Inconsistent effects from dose to dose If you experience these issues, stop using the medication and contact your provider immediately