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O., Bellon, A., Mainguy, G., Jay, T

Methods In this double-blind trial, we enrolled 1961 adults with a body-mass index (the weight in kilograms divided by the square of the height in meters) of 30 or greater (27 in persons with 1 weight-related coexisting condition), who did not have diabetes, and randomly assigned them, in a 2:1 ratio, to 68 weeks of treatment with once-weekly subcutaneous semaglutide (at a dose of 2.4 mg) or placebo, plus lifestyle intervention

The practical upshot is that "on the 503A pathway" and "cleared for compounding" are not the same thing where a substance sits in that review process matters

pubmed.ncbi.nlm.nih.gov/7054160 Irobi E, Aguda AH, Larsson M, et al