Compounded Semaglutide: A Growing Trend Fueled by Shortages
The surge in demand for Wegovy and Ozempic has pushed many consumers to search for compounded semaglutide, a pharmacy-prepared version intended to mimic the active ingredient. But is it safe? And is it the same as the brand-name medications?
The answer is complicated.
What Exactly Is Compounded Semaglutide?
Compounded semaglutide is produced by licensed compounding pharmacies when FDA-approved medications are not available or when patients require a tailored dose.
Legitimate compounding pharmacies use semaglutide base, the same active substance found in brand medications.
Lower-quality sources may use semaglutide salts (acetate, sodium) — which the FDA warns are not the same drug.
Is It Legal?
It is legal only when dispensed through a licensed compounding pharmacy and only under specific guidelines.
It is illegal when:
- Sold without a prescription
- Manufactured overseas and imported
- Purchased from non-pharmacy websites
Always check:
- Pharmacy registration
- State licensing
- Provider prescription requirement
Is Compounded Semaglutide Safe?
It can be — but only from reputable pharmacies.
Risks arise when consumers purchase from:
- Unregistered online vendors
- Beauty spas
- Weight-loss clinics using unverified suppliers
- Social media sellers
Dangers include mis-dosing, contamination, incorrect ingredients, or additives.
How to Identify a Legit Compounding Pharmacy
✔ Requires prescription
✔ Has a U.S. licensed pharmacist
✔ Uses semaglutide base, NOT salt forms
✔ Displays state board licensing
✔ Provides lot numbers and COAs
✔ Ships through cold-chain handling
Signs of Fake or Unsafe Semaglutide
- “No prescription needed”
- Powder form mixed at home
- No pharmacy license
- “Semaglutide acetate” labeled
- Too-good-to-be-true prices
Where to Buy Compounded Semaglutide Online Safely
✔ Telehealth platforms partnered with regulated compounding pharmacies:
https://www.ro.co/weight-loss
https://www.sesamecare.com
https://www.forhers.com/weight-loss
https://www.novusmenshealth.com
These services ensure proper prescriptions, doctor oversight, and safe sourcing.
Should You Use Compounded Semaglutide?
If FDA-approved options are available, they are always the safest.
But if shortages persist, compounded versions from a legitimate pharmacy can be a reasonable medical alternative.