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While the vast majority are compliant and very safe, he said, the small number of spas that allow unauthorized procedures and employ unlicensed workers keeps him up at night. There is a bit of an underbelly to this industry, where youve got folks who should not be doing the treatment that theyre doing, Thiersch said

It is the lack of clinical standards surrounding their use

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In May 2025, Novo Nordisk submitted this new dose for FDA review

The most alarming is the diffusion of multidrug efflux pumps and carbapenemase enzymes that provide Gram-negative pathogens like Escherichia coli ( E

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