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Given that more than one-third of the businesses identified in this study are self-classified as health or medical spas, accurate identification and oversight of medical spas represents another option for improved regulation of businesses selling compounded GLP-1 products

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Response: Based on the comment received, we find that this medical device is used to deliver a therapy to reduce postoperative pain or produce post-surgical or regional analgesia

[13] The FDA also considered data from one separate trial (NCT01720446 [74] ), which was sponsored by Novo Nordisk, of 3297 participants with type 2 diabetes who were at high risk for cardiovascular events