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Common findings in genetic syndromes: Multiple and patterned CALMs Development of cancerous tumors such as nerve sheath tumors, optic gliomas, and leukemias (in NF1) Cardiac tumors like rhabdomyoma (in Tuberous sclerosis) Preventing Cafe Au Lait Macules If your child has a skin lesion or spot that hasnt been checked by the doctor, has more than six cafe-au-lait spots (CALMs, which are birthmarks that are often a light brown color, like coffee with milk), has CALMs and bumps on their skin, has CALMs and has trouble with learning, language or development, or if you have relatives with many CALMs or with a condition known as Neurofibromatosis Type 1 (NF1), you should take your child to the doctor right away for further evaluation

A gray-market vial purchased from a gym or a beauticians back room does not come with sleep-apnea monitoring, liver-function surveillance, dose escalation rules, or a pharmacovigilance desk

It is not a drug, food, or cosmetic, and must not be misbranded, misused, or mislabeled as such

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Canadian customs may seize imported peptides, though enforcement varies