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United States (FDA) : Recognized as a dietary supplement

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Semaglutide doesn't directly increase intoxication, but delayed stomach emptying may cause alcohol to reach your bloodstream at unpredictable rates, making your response less predictable

On April 23, 2026 it came off the FDAs Category 2 do not compound list, and its one of seven peptides the FDAs Pharmacy Compounding Advisory Committee (PCAC) reviews on July 23-24, 2026 for 503A compounding eligibility