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However, this massive gray-market loophole has allowed an explosion of underground wellness clinics, cosmetic spas, and fitness influencers to actively, and illegally, market these unregulated injectables for therapeutic use

KandhroGAKaziTGAfridiHIKaziNArainMBSarfrazRAet al

These unstable intermediate complexes can undergo further chemical transformations into toxic dopamine-derived species, and such dopamine-quinone derivatives are well-documented to impair mitochondrial function and exert direct neurotoxic effects on SN dopaminergic neurons, contributing to their selective vulnerability in pathological states like PD (126)