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Compounded semaglutide stored beyond its expiration date undergoes chemical degradation that reduces therapeutic potency by up to 1015% per month after the printed expiration

Studies consistently show that participants in placebo arms of weight loss trials lose 2-5% of their body weight simply from the behavioral changes that come with enrolling in a treatment program, including dietary awareness, increased motivation, and regular check-ins with healthcare providers

To get around this problem, therapeutic doses of glutathione are administered intravenously

So the term off-label is off here since it does not have current FDA approval