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The vaccine product gets billed separately with its own CPT code on its own claim line

The answer has almost nothing to do with science and almost everything to do with the bureaucratic weirdness of compounding laws

Thus, given the accumulating evidence across species implicating this pathway as integral to aging and its associated diseases, the development of therapeutics aimed at modulating IGF-1 signaling in humans could prove highly effective as a translational tool to delay aging

As a medical device, it is FDA approved but hasnt been tested like pharmaceuticals would be to the highest level of medical evidence and scrutiny