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Mol Psychiatry 27:803818

These findings align with a previous study conducted in Egypt by Ramzy et al

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In another study researchers analyzed posts on a bodybuilding forum concerning SERMs and AIs, revealing that a minority of users were able to obtain PCT medication through a pharmacy (5% clomiphene, 5% tamoxifen, 6% anastrozole, 8% exemestane, and 22% letrozole) ( Owing to the high prevalence of illicit steroid use, the self-administration of unapproved PCT using illegal and falsified medicines is dangerous and can be considered a potential threat to consumer health

The honest answer Peptide legality comes down to three separate buckets: FDA-approved peptide drugs, which are fully legal by prescription