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clinical-grade preparations should meet the same purity and concentration standards as the approved product, which is why COA verification is required for every batch dispensed through this clinic The FDA approval of Tesamorelin for HIV-associated lipodystrophy was based on two randomised, placebo-controlled, double-blind phase 3 trials demonstrating significant reductions in visceral adipose tissue area as measured by CT scan, alongside improvements in trunk fat and lipid parameters