Pause / clear instructions
What needs a clear answer before care?
Who explains the label? Who answers later? Ask before the plan goes ahead.
Who can explain the medicine to you?
Ask for the written plan, the pharmacy’s name and a way to reach the doctor or other licensed person treating you.
- People getting care online may be unsure who made their custom medicine, the Food and Drug Administration (FDA) notes.
- Who made this product?
- Who explains the label?
- Who can answer if the instructions do not make sense?
- Sterile
- Sterile describes something with no living germs. National standards cover how sterile medicines made to order must be prepared.
- GLP-1 medicines
- GLP-1 medicines mimic a signal the body makes to help manage appetite and blood sugar.
What needs care with custom injections?
Get unclear instructions explained by the person who wrote your prescription or by the pharmacist.
- FDA reports that poorly made custom medicines can contain germs or other unwanted material, or the wrong amount of the main drug ingredient.
- Semaglutide (Ozempic, Wegovy) is an ingredient in diabetes or weight medicines. FDA had received reports about measuring mistakes with custom-made semaglutide injections as of September 2026. Some people needed hospital care.
- If the label and the spoken instructions differ, ask the person who wrote your prescription and the pharmacist to agree on clear instructions.
What about keeping it at home?
Ask about the exact product, rather than using a rule for all peptides.
- Storage needs differ by medicine: some peptide products need cold storage and others use room temperature.
- FDA’s advice is to avoid GLP-1 injections that arrive warm or without enough cooling to maintain their quality.
- What storage does this label require?
- Who do I contact about a damaged or warm delivery?
What can you ask about your own health?
Ask how your age, illnesses and other medicines affect the plan. If you are pregnant, planning a pregnancy or breastfeeding, discuss that too.
- What changes in the plan because of my age, health history or other medicines?
- As of September 2026, the semaglutide (Ozempic) label calls for stopping the medicine two months or more before a pregnancy you plan. The tirzepatide (Zepbound) label says to stop it when pregnancy is found. Tirzepatide is another ingredient in weight or diabetes medicines.
- If this applies to you, ask the person treating you how to handle your own medicine.
- As of September 2026, pregnancy information for custom-made medicines has not had the same FDA review as information for approved medicines.