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It's exploiting a loophole that lets it sell knockoff "compounded" drugs during shortages

This delay in stomach emptying leads to prolonged feelings of fullness after eating, ultimately reducing the inclination to consume more food

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Where drugmakers have to identify the manufacturer thatll supply their materials in their FDA drug application and have them inspected (and will also typically do their own regular testing to verify what they receive), compounders just need to get ingredients from an FDA-registered facility, a.k.a