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What Med Spa Owners Should Do Before Adding Any Peptide Therapy Before you add any peptide, do your homework: Check the FDA status Make sure your pharmacy is licensed and regulated Check state law and board guidelines Get your medical director's sign-off Check provider prescribing authority Review patient selection and consent language Make sure charting and documentation are solid Prep for adverse events Control your inventory Double-check your marketing Just because "everyone else is doing it" doesn't mean it's okay

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History [edit] Descriptions of deficiency effects [edit] Between 1849 and 1887, Thomas Addison described a case of pernicious anemia, William Osler and William Gardner first described a case of neuropathy, Hayem described large red cells in the peripheral blood in this condition, which he called "giant blood corpuscles" (now called macrocytes), Paul Ehrlich identified megaloblasts in the bone marrow, and Ludwig Lichtheim described a case of myelopathy