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As a medical device, it is FDA approved but hasnt been tested like pharmaceuticals would be to the highest level of medical evidence and scrutiny

The vaccine product gets billed separately with its own CPT code on its own claim line

[DOI] [PMC free article] [PubMed] [Google Scholar] 90.Kahsai AW, Xiao K, Rajagopal S, Ahn S, Shukla AK, Sun J, Oas TG, Lefkowitz RJ

Thus, given the accumulating evidence across species implicating this pathway as integral to aging and its associated diseases, the development of therapeutics aimed at modulating IGF-1 signaling in humans could prove highly effective as a translational tool to delay aging

It works at the cellular level within the fat tissue itself