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We typically initiate octreotide at 25 to 50 g subcutaneously before meals and if effective and tolerated, consider monthly deep intramuscular injections (long-acting octreotide preparation)

The company explicitly states that these compounded medications "are not evaluated by the FDA for safety, quality or efficacy." TMates describes treatment pathways that may involve FDA-approved branded medications or compounded formulations, depending on patient eligibility, prescriber determination, state regulations, and availability

- Clostridium butyricum: Produces butyrate, stimulating GLP-1

Florida, Indiana, and several others require synchronous (video or phone) visits for the initial evaluation

However, it also raises important questions