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This is a far cry from the severity of GHK-Cu contraindications related to organ systems

What payers require for Zepbound prior authorization Zepbound PA requirements are typically more stringent: Documented BMI of 30 or greater, or 27 or greater with at least one weight-related comorbidity Evidence of lifestyle intervention including documented participation in diet, exercise, and behavioral modification programs (usually for at least 3 to 6 months) Prior medication trials (some plans require documented failure of other weight management medications before approving tirzepatide) Specialist involvement (some plans require referral to or management by a bariatric medicine specialist, endocrinologist, or obesity medicine physician) Ongoing weight monitoring documentation with specific weight loss targets (typically 5% of baseline weight within 3 to 6 months of starting therapy) Patients researching BMI requirements for GLP-1 medications should understand that these thresholds directly correspond to the prior authorization criteria their provider must document

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One of the other issues is that it's not really well regulated where these peptides are coming from

[DOI] [PubMed] [Google Scholar] 190.Lam W.H., Kazi A., Kuhn D.J., Chow L.M., Chan A.S., Dou Q.P., Chan T.H

Quantifying cellular oxidative stress by dichlorofluorescein assay using microplate reader