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ForumsPublic SquareCompounded sema shortage — which pharmacies still have stock? Page 4

Compounded sema shortage — which pharmacies still have stock?

PharmHunterJen Sat, Feb 21, 2026 at 4:09 AM 22 replies 762 viewsPage 4 of 5
PharmHunterJen
Member
567
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Jul 2024
Illinois
Feb 21, 2026 at 9:49 AM#16

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

To answer Dr.EM_Chicago: 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. 🙏

24 13Dr.LipidDallas, alex_tucson, kevin_tulsa and 21 others
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dave_SLC
Member
345
1,567
Aug 2024
Salt Lake City, UT
Feb 21, 2026 at 10:06 AM#17

Relevant to Compounded sema shortage — here is my latest bloodwork comparison:

Key improvements: A1C 8.4% → 5.5%, triglycerides 241 → 111 mg/dL, hsCRP 8.0 → 1.1 mg/L. All on tirzepatide for 9 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

23 9NicoleRaleigh, james_edin, FranDenver and 20 others
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hyun_seoul
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345
1,456
Jul 2024
Seoul, KR
Feb 21, 2026 at 10:23 AM#18

100%. My provider said the same thing about Compounded sema.

39 22MASHdoc_SA, GenomicsKate, Dr.ObesityMed and 36 others
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Dr.PeteFamMed
Senior Member
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9,234
Jan 2024
Minneapolis, MN
Feb 21, 2026 at 10:40 AM#19

Slightly tangential to Compounded sema shortage but FranDenver reminded me — does anyone have experience combining this with metformin?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

17 24Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 14 others
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carlos_SATX
Member
245
1,123
Oct 2024
San Antonio, TX
Feb 21, 2026 at 10:57 AM#20
PharmHunterJen said:
Thank you all for the thoughtful replies on Compounded sema shortage

This is exactly right. PharmHunterJen articulated what I have been trying to explain to my doctor for months. The Compounded sema shortage aspect is the most important factor.

Last edited: Feb 21, 2026 at 12:57 PM
2 10tommy_boulder, hyun_seoul
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