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Other mechanisms presumably involve active tubular secretion via renal transporters (Organic Anion Transporter-3 (OAT3) or P-glycoprotein (P-gp))

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The practical consequence of yesterday's vote, if the FDA ultimately follows the recommendation through rulemaking, is that licensed physicians could write prescriptions for these peptides and patients could obtain them through regulated compounding pharmacies instead of through the unregulated online gray market