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The sellers fall into three main buckets: International manufacturers who sell peptides at low prices with little or no oversight Research chemical sellers who sell peptides that are labeled with a disclaimer like not for human use Concierge clinics or telehealth platforms that dole out prescriptions for peptides made by compounding pharmacies In practice, the lines between the three categories can blur

The objective is to synthesize current data on diagnostic barriers, evaluate emerging approaches to earlier identification, and outline practical recommendations for clinicians across primary and specialist care settings