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Independent testing of research peptide products has found significant variability in actual peptide content, including products that contained substantially less active compound than labeled, and products that failed sterility testing

A dose of 0.4 to 1 mg is used for injection into tendon sheaths

The commenter stated that CMS already uses other programs, such HACRP, to incentivize safety improvement and that layering additional reputational penalties may duplicate or conflict with existing incentives

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