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The FDA has also warned that some compounded semaglutide products may use salt forms - semaglutide sodium or semaglutide acetate - which are chemically different from the active ingredient in FDA-approved semaglutide products

The agency noted that its investigators found its manufacturing facility "in a state of disrepair, poorly cleaned, and poorly maintained." FDA listed several examples of its observations, including grime and discolored lubricant on manufacturing equipment, flies and standing water in the manufacturing area, mold in the air conditioning vents, and a cockroach in the packaging area

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