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Before the 2023 Biden-era decision, Kennedy said, compounding pharmacies were getting those peptides from FDA-inspected facilities, including ones in India and China

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Additionally, the peptide inhibits acetyl-CoA carboxylase activity in hepatocytes and adipocytes, the rate-limiting enzyme in fatty acid synthesis

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Pharmaceutical references and community sources describe this as the standard that requires no refrigeration and maintains the full manufacturer-printed shelf life