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Acknowledgments We would like to thank all volunteers for their participation in this study and thank laboratory staff members from Chemical Pathology Unit of Hospital Sultan Ismail Johor Bahru and Endocrine Unit of Universiti Kebangsaan Malaysia Medical Centre (UKMMC) for their cooperation and valuable assistance

SAHPRA is working closely with border customs officials, national law enforcement agencies, professional medical councils and online platforms to intercept illegal imports, take down illicit digital storefronts and disrupt localised supply chains

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She moved to Kentucky in 2022 to attend University of Louisville Brandeis School of Law, and