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Medically reviewed by Charles Kamen, MD, board-certified neurologist Under sections 503A and 503B of the Federal Food, Drug, and Cosmetic Act, the FDA decides which bulk drug substances a compounding pharmacy may legally use, and that list has shifted several times for peptides between 2023 and 2026

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[DOI] [PubMed] [Google Scholar] 45.Novinscak T., Brcic L., Staresinic M., Jukic I., Radic B., Pevec D., Mise S., Tomasovic S., Brcic I., Banic T., et al

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Sourcing, compounding standards, route of administration, dosing decisions, contraindications, treatment timing, and follow-up all matter