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That the agency is investing public resources to review a compound whose own advocates withdrew their endorsement underscores the difficulty of the regulatory position these peptides occupy

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After all causes were scored on the basis of their importance using the "5-3-1" evaluation method 20 (Table 2), the QCC team identified six key factors that contributed to the low percentage of rational injectable PPI use: inadequate understanding of PPI indications among physicians, inadequate knowledge base of pharmacists, insufficient preprescription review capability of pharmacists, no standardised medication guidelines, the lack of intelligent management for PPI prescription orders and inadequate prescription review efforts