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Specific pathogenic bacteria, such as Campylobacter, Escherichia coli, Salmonella and Shigella, produce a toxin called Cytolethal Distending Toxin B (CdtB)

The April 2026 reclassification news has led some online sellers to market previously restricted compounds as newly legal, but as of June 2026, compounding pharmacy access for most of these compounds is still pending formal rulemaking