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Some doctors are paid as little as $500 a month and are rarely present, prompting one surgeon to call it the worst-kept secret in this industry and the Wild West. Lawsuits detail burns, blindness, and disfigurement from improperly performed laser and filler procedures, and a 2025 study found many medical directors lacked required board certifications or supervised multiple spas in violation of state rules

however, there was no preoperative cessation of their GLP-1 agonist

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Freezing a reconstituted peptide can destroy its structure