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If a patient has low bone density, anabolic agents such as teriparatide, abaloparatide, or romosozumab may be utilized to stimulate bone formation pre-operatively to ensure the spine is strong enough to hold the new hardware

PDA is not separately listed no FDA guidance, ruling, or bulks entry mentions "pentadeca arginate." However, PDA meets none of the three criteria required for legal 503A compounding: no USP monograph, not a component of any FDA-approved drug, and not on the Category 1 bulks list

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