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Description
Melanotan II (also called Melanotan 2 or MT-2) is a synthetic peptide designed to mimic the effects of a hormone found in our bodies called alpha-melanocyte-stimulating hormone (-MSH)

Its that simple

Byrne SJ, Dashper SG, Darby IB, Adams GG, Hoffmann B, Reynolds EC
Chronic Toxicity and Carcinogenicity Studies of the Long-Acting GLP-1 Receptor Agonist Dulaglutide in Rodents (Endocrinology)
The answer: largely through compounding pharmacies and gray-market suppliers