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[9] Using retatrutide outside of an approved, ethics-committee-reviewed clinical trial carries significant risks, as research-grade peptides are not subject to the same manufacturing standards, purity controls, or safety oversight as licensed medicines

Healthcare providers must carefully evaluate each patient's surgical history, current metabolic status, nutritional adequacy, and weight trajectory before initiating therapy

Rationale : States have taken proactive steps to address the need to integrate and streamline quality reporting for dual eligible individuals