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The specific procedure depends on the location and pattern of the stenosis: Laminectomy removes the back portion of the vertebra (the lamina) to create more space around the compressed spinal cord or nerves

This remains an actively moving area, however: on February 27, 2026, the HHS Secretary publicly announced an intent to move roughly 14 of the 19 Category 2-listed peptides, reportedly including ipamorelin and CJC-1295, back toward Category 1 status, and multiple industry and legal-news outlets reported further FDA action in the following months easing Category 2-related restrictions on this group of peptides