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You also need to follow: State medical practice acts Nursing board rules Scope of practice laws Delegation standards Medical director oversight policies Prescribing rules Marketing regulations Some state boards have already started to investigate med spas for using peptides not approved by the FDA, so don't underestimate local rules

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[13] [9] Patients should report any changes in symptoms, particularly neurological manifestations, as these may indicate inadequate dosing or alternative diagnoses

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