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For a compounding pharmacy to legally prepare a bulk drug substance — a peptide not itself an approved drug — that substance must appear on the FDA's 503A Bulks List (substances that can be compounded under specific conditions) or be under active evaluation

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The patient must understand that the treatment addresses clinical needs, and is not a shortcut for muscle growth in healthy individuals.” The Bottom Line Peptides can play a role in medical treatments for specific conditions, but their use as performance enhancers carries potentially significant risks and ethical concerns