melanotan usage is legal in the us Dying for a Tan: The Rise in Sunbed Use with Melanotan II (“Tan Jabs”): Why

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They lack control groups, they are subject to the placebo effect, and they don't account for other lifestyle changes a person might have made simultaneously

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those who were older, female, and had greater confidence in their ability to practice sun-protection were most likely to do so, but the utilization of sun-protective behavior was inconsistent.[9] Another study in the United States examined sun-protective behavior in 100 FDRs of melanoma clinic patients and found that less than one-third of patients use sunscreen routinely when in the sun and that more regular usage was related to higher education levels, higher self-efficacy for sun protection, and higher perceived melanoma risk