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The six peptides are not currently listed in 21 CFR 216.23, the FDA has not issued a final determination, and none became an FDA-approved drug because of the vote

Its primary mechanism involves the upregulation of growth factor receptors and the promotion of angiogenesis (the formation of new blood vessels), which are critical components of the tissue repair process

If the same manufacturer cannot be used for all primary series doses (e.g., the brand is unavailable at the time of the vaccination visit, the previous brand is unknown, or the patient would not be vaccinated with the previous brand due to a contraindication or other reason), then administer another age-appropriate brand

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