Matthew Brown, the pharmacy manager at the Duke Compounding Facility, said the center uses only state-licensed pharmacies that Duke has vetted to compound medications that it doesn't make itself, including semaglutide
It is advisable to avoid valproic acid, as it can impair liver mitochondrial function and cause hepatotoxic, while carbamazepine and phenytoin can decrease vitamin B12 and folic acid levels, therefore, these drugs should be avoided whenever possible
Its important to approach the question of whether Mounjaro causes irregular periods with a nuanced perspective
If a person is using the drug for either diabetes or weight loss, they may want to consider a non-oral version of birth control such as an IUD, implant, or patch, he says