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The most common mistakes med spas make: Sourcing peptides from gray-market online vendors rather than licensed 503A or 503B pharmacies Administering Category 2 peptides that cannot legally be compounded for human use Using a nominal medical director who is not actually supervising clinical protocols Making marketing claims that imply FDA approval or guaranteed efficacy ("clinically proven," "FDA-cleared," "medical-grade") Failing to obtain and document patient-specific prescriptions before administering compounded peptides 2

PLoS One 7 , e51929, (2012)

Signs and symptoms may include: eye pain, changes in vision, swelling or redness in or around the eye

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