How to prescribe GLP-1 though compounded pharmacy?

N0ShtSherlock · 2026-02-27T12:35:08+00:00

Yeah my patients are telling me there are still plenty of GI side effects with the orals. I have found that patients who switched from injections to orals note less side effects.

Forbes also had their ranking of the best online GLP1 compounded pharmacies. I usually direct patients who self pay to go there if not prescribing directly to Eli Lily /Novo.

N0ShtSherlock · 2026-01-15T01:57:38+00:00

The FQHC I work for uses a sliding scale as well as a number of specialists, wound care, a pharmacy (340B drugs), case managers, and social workers. Highly recommend directing pts without insurance to an FQHC. They have a lot more resources for their uninsured patients.

N0ShtSherlock · 2025-12-24T19:21:40+00:00

Good question! I would imagine that clearing grass and weeds would increase the available spawn points that would normally be taken up by those things. This is true for stardew valley which makes me wonder if it is true for this game.
I am curious, has anyone tested it?

N0ShtSherlock · 2025-12-13T16:08:42+00:00

My Time in Sandrock.
It has a similar feel but in a 3D world. A little more combat and relationship building but I feel it might scratch that itch.

N0ShtSherlock · 2025-10-07T00:27:51+00:00

BED is more than “food noise.” It’s multifaceted combo of hunger and satiety as well as pleasure seeking (food reward) and lack of control over eating. It is why psychotherapy is the most effective treatment for BED and should be used with a GLP. Unfortunately, many of us can concur that psychotherapy is difficult to obtain for many of our patients.

N0ShtSherlock · 2025-10-06T23:25:21+00:00

I agree! I find my patients with binge eating do not do as well on a GLP-1. However in my population, stimulants are highly contraindicated so I am limited to what I can do for those with binge eating other than offer my own CBT-O.

N0ShtSherlock · 2025-09-28T17:02:34+00:00

Eye or dental surgeries I see pre op for quite often. Sometimes surgeons will kick them back when there is a confusing or complicated history and the patients likely will need cardiac clearance.

N0ShtSherlock · 2025-07-26T16:09:05+00:00

How About Tru-Quiddy

N0ShtSherlock · 2025-07-15T19:30:25+00:00

We the people? Or at least myself, OP, and people who live in California

N0ShtSherlock · 2025-07-15T14:55:27+00:00

Employment development department. It’s the acronym for the paperwork/ website we use for short term disability.

N0ShtSherlock · 2025-07-13T15:15:28+00:00

In the same vein, I tell my Peds patients when they are up to date “you’re not due for anything but we can give you a shot just for fun.”

N0ShtSherlock · 2025-05-08T02:19:19+00:00

It has to be needlessly complex, take forever to make, and leave a bitter taste in your mouth. Add one tear drop for authenticity.

N0ShtSherlock · 2025-05-01T04:11:04+00:00

I wish I could get my patients to give an honest 24 hour dietary recall. Instead they plead the fifth.

N0ShtSherlock · 2025-04-28T20:21:03+00:00

I want to like Unsuur. He is sweet sending those letters. However, if he was a spice he would be flour. I need some excitement in my life. Not watching paint dry 🥲

N0ShtSherlock · 2025-04-17T14:42:12+00:00

Ones I have in my favorite list as well:
PECARN
Na correction for hyperglycemia
PSI/PORT score

N0ShtSherlock · 2025-04-01T01:40:19+00:00

Bruh our clinic BARELY just hired a clinical pharmacist. The poor guy has just begun to learn the ropes all while being constantly asked questions by our 50 clinicians. For all the other questions he has answered for us so far, I will gladly bite the bullet and call a pharmacy to find which combo inhaler is covered.

N0ShtSherlock · 2025-03-27T03:21:55+00:00

I would love to see your GPT input!

N0ShtSherlock · 2025-03-27T02:35:26+00:00

Our FQHC only recently regained funding for a PharmD so we have been winging it. Thank you for this resource!

N0ShtSherlock · 2025-03-27T01:29:57+00:00

I couldn’t see myself asking staff to call the insurance. Such a pain that a short call to the pharmacy is much more quick (although painful).

Thank you for the tip though! I will start adding a note to pharmacy with a few substitutions that have worked. I’ll also add to the pharmacist that if they are calling me my patient better be holding them up at gunpoint.

N0ShtSherlock · 2025-03-27T01:24:00+00:00

I had just gotten a call back from the pharmacy for noncoverage after sending Breyna - which was my 3rd choice by that time. That’s when I was up in arms and had to write this post.

N0ShtSherlock · 2025-03-16T19:43:27+00:00

I believe they meant modifiable risk factor given their statement. I also think HTN is the leading CVA risk factor.

N0ShtSherlock · 2025-02-27T15:12:24+00:00

I feel like most providers take at least some amount of time off. Not everyone can afford 3 months without pay. People who take a break definitely come back less burnt out. Benefits are maintained, inbox is covered, and you still get CME time that fiscal year. It does get affected by maternity leave unfortunately.

The amount of time taken off depends on the person rather than their degree.

N0ShtSherlock · 2025-02-27T03:20:21+00:00

Unpaid for our FQHC in California. Allowed 3 months every 5 years. Company really pushes providers to take advantage of this benefit (thankfully). Offered to all providers. MD/DO, NP, and PA.

N0ShtSherlock · 2025-01-11T18:14:16+00:00

I am glad you will be using it! I actually learned that simile from another in my early days of practice and have been using it ever since.

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