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Each patient's claim requires individualized documentation: a shared group note covering the session theme, total time, and group interventions, plus a patient-specific paragraph for each member documenting their participation, clinical presentation during the group, progress toward their individual treatment goals, and risk screening if applicable

Additionally, the lack of federal regulatory oversight around compounded peptide products which are not subject to the same strict manufacturing and purity standards as FDA-approved drugs allows for safety concerns, such as potential risks of sterility issues, inaccurate dosages, unknown side effects, and product contamination