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They're potentially exposing themselves to: - State medical board action for prescribing a drug without adequate regulatory authorization - Malpractice liability if a patient experiences an adverse event, since there's no FDA-approved safety and efficacy data to reference - Federal enforcement if their prescribing is part of a broader pattern the FDA characterizes as unlawful drug distribution If you're a patient and a provider offers to prescribe Semax, ask them directly: what is the legal basis for this prescription