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And that's why I lose sleep at night. If the peptides are approved and moved to the 503A list, Holt says this would create a legitimate, regulated pathway for state-licensed compounding pharmacies to produce these therapies for individual patients based on a valid prescription. Medspas, longevity clinics, and telehealth organizations could finally pivot away from the gray-market sourcing of research use-only chemicals, he explains, and instead prescribe pharmaceutical-grade ingredients through a legal pathway