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That structure, and the brand's own disclosure that compounded medications aren't FDA-approved, are the two things worth sitting with before you get excited about NAD+ or Sermorelin specifically
The integrative medicine community can help by demanding the substances that drive the industry are managed in a way that provides responsible access to peptides with proper protection for patients, which requires some kind of reasonable regulations and expectation for quality control
Extended periods at room temperature accelerate degradation
Its safety and efficacy have not been determined
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