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You also need to follow: State medical practice acts Nursing board rules Scope of practice laws Delegation standards Medical director oversight policies Prescribing rules Marketing regulations Some state boards have already started to investigate med spas for using peptides not approved by the FDA, so don't underestimate local rules

Too little water: doses are stronger than intended This is the more concerning scenario

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PMID 17851649

It is not intended for human or animal consumption, medical treatment, or diagnostic purposes

Mechanistically, intra-articular AOD-9604 may stimulate synovial fibroblast proliferation or reduce inflammatory cytokine production in the synovial microenvironment, though direct effects on cartilage are unclear