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Peer review Peer review information Nature Reviews Endocrinology thanks Juan Pablo Frias, Baptist Gallwitz and the other, anonymous, reviewer(s) for their contribution to the peer review of this work

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These products are not subject to the same sterility testing, potency verification, or batch traceability standards required of 503B outsourcing facilities, which increases the likelihood of injection site infections, allergic reactions to undeclared preservatives, or complete lack of therapeutic effect due to degraded compounds

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