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Compounding continues under different exemptions: Customized formulations: Adding B12, adjusting dose strengths not commercially available, providing allergen-free preparations Medical-need exemptions: Patient-specific reasons the brand product cannot be used (allergy, intolerance, dosing requirements) Patient access exceptions: Insurance non-coverage combined with documented medical need can support compounding for cash-pay patients in some state interpretations Reputable compounding pharmacies and the telehealth platforms that work with them have restructured their patient-intake processes to document medical-need rationale on every prescription

Optimal is a sublingual delivery that I find to be very effective and which bypasses digestion entirely

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Particularly when used alongside UV exposure