pasta, couscous, breakfast cereals, crackers, rice, fruit (fresh, tinned, dried), and starchy vegetables such as potatoes, yam and sweet potato
Furthermore, GLP-1RA potentially further compromise fluid homeostasis by increasing renal sodium excretion (116)
Compounded tirzepatide operates under different rules
Regular water is not sterile, is not manufactured under pharmaceutical-grade controls, and contains no preservative
But, the reality is that 503A pharmacies are also under FDA jurisdiction for compliance with requirements under the Federal Food, Drug and Cosmetic Act (FD&C Act) for the compounded products they produce, noting that they are exempt from certain labeling requirements and current good manufacturing practices (cGMPs) applicable to FDA-approved drugs and 503B compounded drugs