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: Misuse of these products contributes to the development of antibiotic-resistant bacteria, which is a significant global health concern.

However, the has issued warnings regarding these unapproved animal drugs. They have not been evaluated for safety, effectiveness, or quality, and it is illegal to market them for human use. In 2024 and 2025, the FDA issued multiple warning letters to retailers selling unapproved aquatic and avian antibiotics, citing concerns that these products are misbranded and potentially harmful. Safety and Regulatory Warnings buy azithromycin for fish

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