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After the ensuing congressional investigation, in 2013 Congress passed the Drug Quality and Security Act (DQSA), which created a new category of compounders called outsourcing facilities. See 21 USC 353b

These changes confirm the medication is working at a metabolic level, not just suppressing appetite

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doi: 10.1016/0014-5793(95)01006-Z 119 FalkoJMCrockettSECatalandSMazzaferriEL

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