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None of these tissue-specific claims rest on 2023–2026 musculoskeletal randomised controlled trials (RCTs), so the selection logic below is preclinical extrapolation rather than confirmed human efficacy [5][6][7]

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The FDA's evolving stance on compounded peptides, state-level variations in prescribing authority, and DSCSA (Drug Supply Chain Security Act) requirements mean that clinics need an audit trail that proves every compound sold was backed by a valid prescription from a licensed provider