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Reference lists of included articles and relevant reviews were manually screened to identify additional pertinent studies

Thats because peptides degrade easily in the digestive tract and tend to be too large molecularly to permeate the skin or intestinal lining,5 often yielding a bioavailability as low as 1-2%.6 But there are some peptides that have a small enough molecular size that they easily transfer into the bloodstream as either an oral or a topical supplement

From a compounding-access standpoint, deferral is functionally indistinguishable from a no the bulks list doesnt change