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The same letter makes clear the peptides do not automatically move into Category 1 — the bucket where the FDA has said it generally would not take action against compounders — and that the Pharmacy Compounding Advisory Committee (PCAC) will review them at the July 23–24, 2026 meeting, with February 2027 as the alternate date

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If you have a history of respiratory issues, proceed with extra caution and only under the guidance of a clinician