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While the vast majority are compliant and “very safe,” he said, the small number of spas that allow unauthorized procedures and employ unlicensed workers keeps him “up at night.” “There is a bit of an underbelly to this industry, where you’ve got folks who should not be doing the treatment that they’re doing,” Thiersch said

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Lyophilized (freeze-dried) peptide is stable longer than reconstituted solution because removing water eliminates the hydrolysis pathway