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The FDA finalized two guidance documents in January 2017 clarifying the agencys proposed policies concerning the use of certain bulk drug substances in compounding by state-licensed pharmacies, federal facilities, and licensed physicians (under section 503A), and by outsourcing facilities (under section 503B): Sermorelin AND Tesamorelin are both approved and available for use as an alternative

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Commonly affected areas include the shoulders, elbows, hips, knees, and heelsplaces where repetitive movement or pressure causes irritation