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Access · International · continued

What changed in 2026, by region posts 91–120

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

AA
a.aguirreTL221 Jan 2025#91

A regional experience posted here should say which year it describes. The archive keeps these permanently and they age faster than anything else on the site.

Flagging that the sources on this are thinner than the confidence in the thread suggests.

0 likes 18mo
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v.fontaineTL222 Jan 2025#92

Regional practice around what a pharmacy will and will not do varies enormously and is not deducible from the regulatory position.

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z.yildizTL222 Jan 2025#93
n.nakamura, post #4: Post #2 put the caveat in the right place and I want to underline it. Country-by-country legality: compound approval and legal status differ substantially by jurisdiction. Semaglutide approved in the United States and European Union; tirzepatide approved in some but not all; retatrutide approved nowhere yet (ongoing trials). Go to post

Where I part company with post #89, and it is a narrow parting.

Date your answer and name your region. A position that is true in one jurisdiction and stated without either is the commonest source of confusion here.

The strength of my opinion here exceeds the strength of my evidence.

7 likes in reply to #4 18mo
CA
c.adebayoTL223 Jan 2025#94

Regulatory position dates: a regulatory position is only current as of when it was written. Rechecking is prudent, especially if you saw it months ago.

If that is already documented somewhere, ignore me and link it.

1 like 18mo
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h.karlsenTL223 Jan 2025#95

Noted, and thank you for writing it out rather than summarising it.

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l.trevinoTL224 Jan 2025#96
i.rasmussen, post #35: Temperature-controlled material and long-haul travel is a practical problem with practical solutions, none of which are on the packaging. Go to post

Narrowing post #93, because the general version has more than one answer.

Temperature-controlled material and long-haul travel is a practical problem with practical solutions, none of which are on the packaging.

24 likes in reply to #35 18mo
EO
e.okaforTL224 Jan 2025 · edited#97

Where a jurisdiction has published guidance for clinicians, that document usually answers the practical questions better than any consumer-facing page.

The part I am sure of is shorter than the part I have written.

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n.vogelTL225 Jan 2025#98

Licensed prescribing: where a compound is approved, prescribing is restricted to licensed prescribers. Where it is not approved, the legality of possession and use is unclear.

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s.balogunTL225 Jan 2025#99

I read post #97 twice before replying, because I had assumed the opposite.

Where a compound is approved under a different trade name in another market, searching the local name finds documents the English name does not.

The short version is the first sentence; the rest is why.

0 likes 18mo
KO
k.otieno_statsTL3Statistician26 Jan 2025#100
s.okonkwo, post #6: Regulatory position dates: a regulatory position is only current as of when it was written. Rechecking is prudent, especially if you saw it months ago. Not a strong opinion, just a consistent one. Go to post

Both are useful and they are different contributions. A first-hand account and a citation answer different halves of the question.

It is worth stating the boring hypothesis before the interesting one.

32 likes in reply to #6 18mo
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owen.bradyTL4 Moderator26 Jan 2025#101
k.otieno_stats, post #100: Both are useful and they are different contributions. A first-hand account and a citation answer different halves of the question. It is worth stating the boring hypothesis before the interesting one. Go to post

Thank you — that answers what I came here to find out.

6 likes in reply to #100 18mo
KD
k.dahlbergTL226 Jan 2025#102

Travel with medication: carrying a compound across borders is complicated by legal status. Documenting that it is prescribed and carrying proof reduces (but does not eliminate) risk.

If anyone can point at the primary source I would be grateful.

1 like 18mo
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ms_hollowayTL4Mass spectrometrist27 Jan 2025 · edited#103

Post #102 and I disagree about the size of the effect, not about the direction.

Country-by-country legality: compound approval and legal status differ substantially by jurisdiction. Semaglutide approved in the United States and European Union; tirzepatide approved in some but not all; retatrutide approved nowhere yet (ongoing trials).

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n.silvaTL227 Jan 2025#104

Taking post #102 at face value and following it one step further.

Summaries lag badly in this area. Where a decision matters, read the current official document rather than a page about it, including this one.

The general case is well covered; this is the awkward specific one.

22 likes 18mo
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k.radichTL228 Jan 2025#105

I read post #102 twice before replying, because I had assumed the opposite.

Regulatory position dates: a regulatory position is only current as of when it was written. Rechecking is prudent, especially if you saw it months ago.

The claim is narrower than it sounds, and deliberately so.

10 likes 18mo
HM
h.mbekiTL228 Jan 2025#106

Where a jurisdiction has published guidance for clinicians, that document usually answers the practical questions better than any consumer-facing page.

Anyone who has looked at this more carefully, please correct the record.

3 likes 18mo
AR
a.reyesTL4 Admin29 Jan 2025#107
a.teixeira, post #70: I had written a reply contradicting post #68 and deleted it. Here is what survived. A regional experience posted here should say which year it describes. The archive keeps these permanently and they age faster than anything else on the site. If it helps: the failure mode here is usually boring rather than dramatic. Go to post

A regional experience posted here should say which year it describes. The archive keeps these permanently and they age faster than anything else on the site.

0 likes in reply to #70 18mo
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b.oseiTL229 Jan 2025#108
footnote_entry, post #47: Summaries lag badly in this area. Where a decision matters, read the current official document rather than a page about it, including this one. Go to post

This follows post #105 rather than contradicting it.

Regional practice around what a pharmacy will and will not do varies enormously and is not deducible from the regulatory position.

30 likes in reply to #47 18mo
BV
b.vestergaardTL230 Jan 2025#109
p.novak, post #23: Date your answer and name your region. A position that is true in one jurisdiction and stated without either is the commonest source of confusion here. Go to post

Nothing here is legal advice, and in this subcategory that caveat is doing real work rather than sitting decoratively at the end.

1 like in reply to #23 18mo
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BGiordanoTL230 Jan 2025#110
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e.krastevTL231 Jan 2025#111
l.osei, post #89: Confirming post #87 from a second method, which matters more than confirming it from a second person. Summaries lag badly in this area. Where a decision matters, read the current official document rather than a page about it, including this one. Two sources, same conclusion, and I could not rule out that one copied the other. Go to post

Currency and exchange rates: paying in different currencies has different costs and risks. Bitcoin eliminates currency and intermediary issues but has other risks.

This has been discussed before and I could not find the thread, so, again.

11 likes in reply to #89 18mo
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MSaarinenTL3Regular31 Jan 2025#112

The most useful thing anyone can add to a thin regional thread is what the official source says and where it is, rather than what happened to them.

Correct me on the arithmetic if it is wrong; I would rather know.

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e.tammTL21 Feb 2025 · edited#113

Reading rather than contributing, but this is the most useful thread I have found on it.

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s.poulsenTL3Regular1 Feb 2025#114

Worth separating two things that post #111 runs together.

Temperature-controlled material and long-haul travel is a practical problem with practical solutions, none of which are on the packaging.

1 like 18mo
IB
i.brobergTL22 Feb 2025#115
n.silva, post #104: Taking post #102 at face value and following it one step further. Summaries lag badly in this area. Where a decision matters, read the current official document rather than a page about it, including this one. The general case is well covered; this is the awkward specific one. Go to post

Summaries lag badly in this area. Where a decision matters, read the current official document rather than a page about it, including this one.

16 likes in reply to #104 18mo
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KnowltonTL3Regular2 Feb 2025#116
a.reyes, post #16: Temperature-controlled material and long-haul travel is a practical problem with practical solutions, none of which are on the packaging. Go to post

Country-by-country legality: compound approval and legal status differ substantially by jurisdiction. Semaglutide approved in the United States and European Union; tirzepatide approved in some but not all; retatrutide approved nowhere yet (ongoing trials).

Adding a source would improve this post and I do not have one to hand.

32 likes in reply to #16 18mo
IR
i.rasmussenTL22 Feb 2025#117

Picking up post #116: that is the part I would want checked first.

Licensed prescribing: where a compound is approved, prescribing is restricted to licensed prescribers. Where it is not approved, the legality of possession and use is unclear.

Not the answer, but possibly the question that gets there.

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VThorvaldsenTL3Regular3 Feb 2025#118

On post #114 — agreed on the reasoning, with one qualification.

If a claim about your region here is out of date, correcting it with a date and a source is the single most valuable post you can make.

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m.yildizTL23 Feb 2025#119

Post #116 is the version of this I will quote in future. One addition.

Both are useful and they are different contributions. A first-hand account and a citation answer different halves of the question.

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KF
k.farrugiaTL3Regular4 Feb 2025 · edited#120

Where a compound is approved under a different trade name in another market, searching the local name finds documents the English name does not.

12 likes 18mo