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The Irish Medicines Board (IMB) issued a precautionary safety alert on February 27, 2009 regarding the use of "the unauthorised medicine Melanotan (I and II)", sold as a powder for injection, stating that " Melanotan is not authorised in Ireland and therefore the IMB cannot guarantee the efficacy, safety or quality of this product

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However, they may spend hundreds more in coinsurance, or face months without coverage while appeals process