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The Enforcement Crackdown: Warning Letters, Lawsuits, and What They Mean for Patients FDA enforcement has escalated in distinct waves: more than 55 warning letters to telehealth companies in September 2025, 30 more on February 20, 2026, and a third wave of 25 additional letters during the week of June 15, 2026

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This effect is typically short-term and improves once the body adjusts to the new dose level

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