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They may be obvious to the naked eye or can be found incidentally by imaging studies of the neck, such as a sonogram of the carotid arteries or a CT or MR of the spine

GHK-Cu, by contrast, appears to act more directly on fibroblast signaling and collagen gene transcription, with VEGF upregulation occurring as part of a broader tissue remodeling response

That means: Legal to purchase from licensed peptide vendors (for research use only) Not approved as a prescription medication Some compounding clinics may prescribe it off-label for anti-aging or performance Ipamorelin is not approved by the FDA but is available through compounding pharmacies