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Established vendors with consistent positive community feedback have more to lose from quality lapses than fly-by-night operations

others sell sublingual liquids or powders

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Several factors explain the lack of approval: insufficient clinical trials (no completed Phase 3 trials for most indications), safety concerns (FDA has identified specific adverse events), commercial considerations (patent status affects development investment), regulatory pathway (approval requires specific, rigorous documentation), and competition (Tesamorelin already approved for related indication)

A little under 0.4% of the population in the U.S

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