To answer PeptideSynthNJ's question specifically:

From a clinical standpoint, International vendor directory is something I discuss with patients regularly.

The short answer: discuss this specific situation with your prescribing provider.

The longer answer involves weighing the risk-benefit ratio for your individual situation, which I am happy to elaborate on if helpful.

Just wanted to say — for anyone reading this International vendor thread who is feeling discouraged: it gets better. The first month are the hardest. Hang in there. 💪

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on International vendor.

To answer laura_annarbor: yes, I am on compounded sema from a 503B pharmacy.

Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

Just wanted to say — for anyone reading this International vendor thread who is feeling discouraged: it gets better. The first 6 weeks are the hardest. Hang in there. 💪

+1. This mirrors my journey exactly. The International vendor discussion here is so valuable.