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According to SAHPRA, inspectors found serious problems during the investigation, including: Alleged illegal importation of active pharmaceutical ingredients (APIs) Lack of testing to confirm purity and potency Inadequate sterile manufacturing conditions (environments that may not be properly clean or medically controlled) Contamination risks (risk of bacteria, impurities, or unsafe substances entering injectable products) Insufficient equipment for aseptic preparation (special sterile preparation processes designed to prevent contamination during the making of injectable medicines) Absence of proper ventilation systems required for sterile pharmaceutical production (special air filtration and airflow systems needed to safely manufacture injectable medications) SAHPRA also said that it has received reports of adverse events and hospitalisations linked to some of these products