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As well as concerns about the purity of the products, Taylor noted that peptides produced for research purposes could contain other ingredients that were dangerous for humans, or bacterial endotoxins

Its compounding-pathway status is unsettled: ibutamoren mesylate was nominated for inclusion on FDA's Section 503A bulk drug substances list, and the Pharmacy Compounding Advisory Committee reviewed the nomination at its October 29, 2024 meeting and voted against recommending it for the list, citing concerns about the strength of the safety and efficacy evidence