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Enforcement actions happen, but they are typically against local sellers who have crossed specific advertising lines, and they do not affect the underlying supply chain (Chinese manufacturing, e-commerce listings, telehealth clinics in permissive jurisdictions)

doi: 10.3389/fimmu.2018.01873

CertaPeptides (CERTALAB S.R.L.) is a reseller, not a manufacturer, and makes no medical, therapeutic, or efficacy claims