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The presence of thiazine impurities has been confirmed using various analytical techniques

Neurochem Res 14:489493 Calabrese V, Colombrita C, Sultana R, Scapagnini G, Calvani M, Butterfield DA, Stella AM (2006) Redox modulation of heat shock protein expression by acetylcarnitine in aging brain: relationship to antioxidant status and mitochondrial function

Based on available evidence: PT-141 (Bremelanotide): Most extensively studied, FDA-approved with rigorous safety review, known side effect profile, pharmaceutical-grade quality available through prescription