Compounded semaglutide is the same active molecule as Wegovy and Ozempic, prepared by a 503A pharmacy instead of Novo Nordisk. The molecule is identical. What differs is the vial concentration — and that's the one variable that can quietly cut your dose in half on a refill.
A 5 mg vial reconstituted in 1 mL gives 5 mg/mL. The same 5 mg vial reconstituted in 2 mL gives 2.5 mg/mL. Your prescribed dose in milligrams is the same. Your dose volume in milliliters — and the units you draw — are not.
Every refill, re-read the pharmacy label. If the BAC water volume changed, your unit count changes. The calculator above catches it; muscle memory does not.
Beyond-use date is typically 28 days post-reconstitution under refrigeration. Additives are sometimes included — B6, B12, glycine, L-carnitine — which don't change the semaglutide math but do change side-effect attribution. The FDA-approved 0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg titration ladder still applies; compounded does not mean weaker.