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If your doctor has worked with a particular compounding pharmacy for years or decades and had success with their patients using those compounded meds, that's a really good first sign, Davis says

Any use outside this licensed indication would be considered off-label prescribing

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A: Degradation can sometimes be detected by changes in the appearance of the peptide solution (e.g., cloudiness, precipitation) or a loss of expected biological activity

In addition, they may perform a test called a dermoscopy