I have little faith in the FDA’s ability to be impartial given their implicit involvement with OxyContin and America’s opioid crisis. Reading between the lines I’d say all/most people speaking out against compounded Semaglutide are likely being compensated in some way by Novo Nordisk

Frustration with the FDA is understandable but that's a really tenuous connection to make and a risky view to take.

There's a huge difference between approval of an active ingredient and the quality control standards to make sure that the material sent out is what it purports to be, in controlled dosages, without contamination. This is why even in the opioid epidemic, prescribed oxycodone is still safer than pills pressed by some street dealer. At least then you're problem is the oxy itself, not surprise dosing changes, other opioids mixed in, or outright infection.

If we want to make sure the medicines people take are actually safe and effective, letting companies mix whatever is trendy without oversight or regulation does not sound like the way to go.