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Direct-to-consumer platforms like Hims, Keeps, and Ro have introduced millions of patients to compounded finasteride and minoxidil—but the clinical oversight on those platforms varies enormously, and the compounding pharmacies behind them are not always transparent about their accreditation or testing protocols

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For example, amphotericin B, an antifungal with high toxicity and low solubility, was included in cyclodextrins in order to improve solubility and reduce adverse effects [39]