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The requirements include patients at high metabolic or cardiovascular risk with a BMI greater than 27 with prediabetes or established cardiovascular disease, or a BMI over 30 with uncontrolled hypertension despite treatment, advanced kidney disease, or heart failure

Theres no guarantee of dose accuracy, sterility or that the vial contains what the label says. Without rigorous independent verification, patients injecting these gym-sourced or internet-sourced chemicals face a laundry list of clinical risks

Mass spec eliminates that possibility

Its used in metabolic research for weight management and energy production

10.1152/ajprenal.00211.2018