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Experts say the unauthorized products fall into regulatory grey zone, with limited evidence of safety and risks that include hormonal imbalances, the growth of cancerous tumours, and liver or kidney damage

If no take-back options are available, the FDA provides guidelines for home disposal that involve mixing the medication with unpalatable substances and sealing in a container before disposal

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Research doses cluster around 0.5 mg (500 mcg) three times daily before meals