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Britton K, Starkschall G, Liu H, Ezhil M, Nelson C, Chang J, Kantor M, Cox J, Komaki R, Mohan R

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A systematic analysis of falsified peptide products purchased from online sources found: Purity levels as low as 5% to 75% (meaning the product may contain far less active ingredient than labeled - or far more) Contamination with toxic heavy metals, including arsenic at concentrations up to 10 times the accepted safety limit for injectable drugs, and lead High levels of peptide-related impurities and unknown contaminants A separate analysis of compounded injectable products reported through the FDA’s adverse event system found significantly higher rates of preparation errors, contamination, and manufacturing issues compared to FDA-approved products, as well as higher rates of hospitalization