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Pinch firmly enough to lift the tissue but not so hard that you cause pain from the pinch itself

Key Takeaways Administration (in-office injection) is viable in all 50 states under medical board oversight Dispensing (at-home supply) is prohibited or severely restricted in major markets The FDA shortage resolution ended enforcement discretion for compounded GLP-1s State pharmacy dispensing permits are non-negotiable if you dispense medications Mid-level practitioner authority for dispensing varies significantly by state Medical director oversight is the legal foundation for any GLP-1 program 503B office use stock cannot be redistributed for at-home patient use Non-compliance creates practice-ending legal exposure

Retatrutide produces larger improvements in cardiovascular risk factors than approved medications