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In India, the CDSCO framework under the Drugs and Cosmetics Act covers Schedule H and H1 categories for prescription medicines, but most grey-market peptides are not classified under any schedule at all, creating an effective regulatory absence

J Am Soc Nephrol 31:15221537

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35 LyckR.RuderischN.MollA

For instance, elevated 4-HNE in synovial fluid has been reported in multiple studies, but significant variations in detection methods and patient stratification such as disease stage and inflammation degree between studies mean the strength of evidence for 4-HNE as a driver of OA inflammation amplification still requires cautious interpretation