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doi: 10.1089/thy.2014.0525 101 MandelSJMandelL

During shortages of Wegovy, Ozempic, Mounjaro, and Zepbound, the FDA exercised temporary enforcement discretion , allowing compounding pharmacies to help meet patient demand. Once manufacturing stabilized: Semaglutide injection products were removed from the FDA Drug Shortage List Tirzepatide injection products were formally declared resolved Compounding reverted to pre-shortage federal and state limits Broad, shortage-based compounding is no longer allowed in 2026

The best approach is to take your levothyroxine on an empty stomach, 30-60 minutes before food, and at a different time of day from your Mounjaro injection