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In an email to a patient obtained as part of an ongoing Four Corners investigation, a Como staff member said "we do compound the active ingredient in Mounjaro for weight loss" and that the product was $1,265 for a vial that "can last up to three months" and could be posted around the country

According to Eli Lillys prescribing information, severe events occurred in less than 1% of patients on monotherapy and about 2% in patients using insulin secretagogues

This approach, consistent with FDA labeling recommendations for initial titration, may reduce the risk of gastrointestinal side effects in patients whose tolerance may have changed during the medication interruption

However, these drugs are not as effective as Semaglutide and may have side effects, which could make them less attractive to buyers