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Med Spa Compliance Resources

Expert guides to help you navigate compliance, safety protocols, and regulatory requirements for your med spa practice.

By State

California

Medical director requirements, AB-890 NP ownership, compliance checklist, scope of practice, and advertising rules.

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New York

CPOM ownership rules, OPMC enforcement, NP 3,600-hour independence, medical director requirements, GLP-1 prescribing, and laser safety.

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Florida

AHCA inspections, medical director requirements, scope of practice, botox regulations, and compliance checklists.

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Texas

TMB medical director rules, who can inject, GLP-1 compliance, DSHS inspections, and hormone therapy requirements.

Browse Texas guides →

Georgia

GCMB rules, CPOM ownership, APRN protocol agreements, medical director requirements, GLP-1 prescribing, GDNA registration, and laser safety.

Browse Georgia guides →

Arizona

AMB rules, NP full practice authority, ownership without strict CPOM, medical director requirements, GLP-1 prescribing, and laser safety.

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Ohio

Medical director and physician delegation rules, compounding-pharmacy sourcing, telehealth prescribing, scope of practice by role, GLP-1 compliance, and ownership.

Browse Ohio guides →

Illinois

Physician delegation, medical director oversight, who can inject, corporate-practice ownership limits, GLP-1 compliance, and Chicago licensing.

Browse Illinois guides →

Tennessee

State med spa registration statute, medical director and supervising physician rules, physician delegation, injector scope, GLP-1 compliance, and ownership.

Browse Tennessee guides →

National Compliance

July 29, 2026 22 min read

Med Spa Rules Compared: 9 States on Ownership, Injectors & Lasers (2026)

Nine states, six dimensions, one side-by-side matrix — ownership, medical director, injector scope, laser, registration, and enforcement, grouped into descriptive climate tiers.

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July 28, 2026 16 min read

Med Spa Medical Records & Retention 2026: HIPAA & EMR Rules

What records a med spa must keep, retention periods by state, EMR and HIPAA requirements, consent and photo storage, access, and secure destruction.

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July 27, 2026 16 min read

Med Spa Hiring & Credentialing 2026: Build a Compliant Team

How to hire and credential a compliant med spa team: roles, license verification, scope matching, delegation, onboarding, and documentation.

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July 26, 2026 16 min read

Med Spa Accreditation & Certification 2026: Worth It?

Med spa accreditation and certification options, whether they are required, the benefits, cost, and the documentation you need to qualify.

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July 25, 2026 16 min read

Med Spa Insurance & Malpractice Coverage 2026: What You Need

What insurance a med spa needs, what it costs, and how written SOPs lower premiums and defend claims — professional, general, product, and cyber coverage.

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July 13, 2026 22 min read

Med Spa Medical Director: The Complete 2026 Guide

The national pillar on the med spa medical director — what they do, how to find and pay one, remote and fractional models, the three physician roles, liability and board-complaint risk, and the rules state by state.

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July 12, 2026 16 min read

Med Spa Medical Director Board Complaints: What Happens Next

A board complaint puts the medical director's license on the line. The investigation process, the exposure, how to respond, and how documentation prevents discipline.

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July 11, 2026 16 min read

Fractional & Part-Time Medical Directors for Med Spas 2026

Most med spas use a fractional or shared medical director — but cheap-and-hands-off is where compliance breaks. The models, costs, limits, and how to structure it right.

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July 10, 2026 16 min read

Medical Director vs Supervising vs Collaborating Physician

Operators confuse these three physician roles — and the wrong one creates compliance gaps. What each means, how they differ by state, and which your med spa needs.

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July 9, 2026 16 min read

What Does a Med Spa Medical Director Actually Do? (2026)

The medical director is not a signature-for-hire. The real duties — protocols, delegation, chart review, training, adverse-event oversight — and how to evidence them.

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July 8, 2026 16 min read

Can a Med Spa Medical Director Be Remote? (2026 Rules)

Remote/telehealth medical directorships are booming and heavily scrutinized. Which states allow it, on-site presence rules, and the supervision that holds up.

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July 8, 2026 16 min read

Med Spa Testimonial & Marketing Consent: HIPAA Rules 2026

When testimonials and before-and-after photos need HIPAA authorization, what the form must include, how to store it, and how to answer reviews legally.

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July 7, 2026 16 min read

How to Find a Medical Director for a Med Spa (2026)

Finding a medical director is the #1 blocker to opening a med spa. Where to look, how to vet, red flags, fair pay, and agreement essentials — step by step.

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July 6, 2026 22 min read

Microneedling Laws by State 2026: Who Can Legally Perform It

The national pillar on who can legally perform microneedling — the 0.3 mm cosmetic-vs-medical needle-depth line, scope by role, RF microneedling, delegation, and the rules state by state.

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July 6, 2026 16 min read

What Protocols Does a Med Spa Need? The Full 2026 List

The complete protocol inventory for a compliant med spa — weight loss, injectables, laser, wellness, hormones, emergencies, and operations, category by category.

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July 5, 2026 16 min read

What Does Med Spa Compliance Require? (2026 Checklist)

The 9 components of a compliant med spa: ownership, medical director, scope, SOPs, consent, HIPAA, OSHA, advertising, and inspection readiness — one checklist.

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July 4, 2026 16 min read

GLP-1 Monitoring Schedule Template for Med Spas (2026)

The complete monitoring schedule for med spa GLP-1 programs: baseline labs, titration follow-ups, escalation checkpoints, and what to document at every visit.

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July 2, 2026 16 min read

Can Med Spas Legally Offer Exosomes in 2026? (The Honest Answer)

The FDA has approved zero exosome products for injection. What is actually legal in 2026, the enforcement risk, and the compliant regenerative alternatives.

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July 1, 2026 16 min read

PRP & PRF for Aesthetics 2026: Who Can Perform & Is It Legal?

PRP/PRF is the legal core of regenerative aesthetics. Off-label status, who can draw and inject, microneedling-with-PRP, OSHA blood handling, and consent.

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June 30, 2026 16 min read

Who Can Perform Microneedling? Esthetician vs RN vs Medical 2026

Microneedling scope usually hinges on needle depth. Who can legally perform it — esthetician, nurse, NP/PA, physician — plus delegation, supervision, and consent.

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June 29, 2026 22 min read

Med Spa Injectables Safety & Compliance: The Complete 2026 Guide

The national pillar for injectables: neurotoxins, fillers, biostimulators, the complication spectrum, hyaluronidase/vascular-occlusion readiness, consent, scope, and sourcing — the hub for the 2026 injectables cluster.

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June 28, 2026 16 min read

Lip Filler Safety & Consent 2026: Protocols Every Med Spa Needs

The most refund-prone injectable: lip filler. Perioral vascular risk, swelling vs complication, migration, and the consent and SOPs that protect med spas.

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June 28, 2026 16 min read

Kybella Compliance 2026: Deoxycholic Acid Protocols & Consent for Med Spas

Kybella (deoxycholic acid) for submental fat: dramatic swelling, marginal mandibular nerve risk, patient selection, consent, and the SOPs a med spa needs.

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June 27, 2026 16 min read

Biostimulator Compliance 2026: Sculptra & Radiesse SOPs for Med Spas

Biostimulators stimulate collagen and are NOT reversible with hyaluronidase — which changes consent and complications. Sculptra/Radiesse reconstitution, nodule risk, and SOPs.

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June 26, 2026 16 min read

Botox Complications & Management 2026: Ptosis, Brow Droop & Asymmetry Protocols

Neurotoxin complications are usually temporary — but the response decides whether it becomes a lawsuit. Managing ptosis, brow droop, and asymmetry, plus consent and SOPs.

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June 25, 2026 16 min read

Neurotoxin Dosing & Reconstitution 2026: SOPs for Botox, Dysport, Jeuveau & Daxxify

The four major neurotoxins are not interchangeable. Unit equivalence, reconstitution, storage, beyond-use dating, and the dosing documentation an SOP must capture.

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June 24, 2026 16 min read

Hyaluronidase & Dissolving Filler 2026: Emergency Reversal Protocols for Med Spas

Hyaluronidase is the antidote to vascular occlusion and the tool for dissolving. Emergency reversal, stocking, consent, and the readiness SOPs every filler clinic needs.

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June 23, 2026 16 min read

Dermal Filler Complications 2026: Recognition & Management Protocols for Med Spas

Filler complications are the fastest-growing source of med spa litigation. Recognizing and managing vascular occlusion, nodules, biofilm, and Tyndall — plus the SOPs that protect you.

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June 22, 2026 22 min read

Med Spa Skin & Laser Compliance: The Complete 2026 Guide

The national pillar: who can operate lasers, chemical peel scope by depth, microneedling and RF, the LSO requirement, complications, good-faith exam, and state-by-state rules.

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June 18, 2026 16 min read

Laser & Chemical Peel Complications 2026: Prevention & Adverse-Event SOPs

Burns, scarring, and PIH cause the lawsuits that cripple med spas. Prevention, patient selection, and the adverse-event SOPs and consent that protect you.

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June 17, 2026 16 min read

Chemical Peel Scope of Practice 2026: Who Can Perform What at a Med Spa

Chemical peels are the most-requested facial — and a scope minefield. Superficial/medium/deep depth limits and who can legally perform each, by role and state.

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June 16, 2026 16 min read

Who Can Legally Operate a Laser at a Med Spa? 2026 Enforcement & Liability Guide

Laser hair removal is the #1 med spa service — and the #1 enforcement target. Who can legally operate a laser, supervision rules, Class IIIb/IV, and the liability of getting it wrong.

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June 12, 2026 16 min read

Compounded GLP-1 in 2026: 503A vs 503B Sourcing for Med Spas

The FDA shortage ended — now what can you legally source? 503A vs 503B pharmacies, the clinical-difference exemption, and a supplier-vetting checklist.

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June 11, 2026 16 min read

GLP-1 Maintenance and Off-Ramping 2026: Protocols for Med Spas

What happens after goal weight? Maintenance dosing, tapering, rebound-weight risk, and how to build a recurring-revenue maintenance program.

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June 10, 2026 16 min read

GLP-1 and Muscle Loss 2026: Body Composition Protocols for Med Spas

Lean-mass loss is the 2026 GLP-1 conversation. The science by drug, plus resistance, protein, monitoring, and titration protocols to protect muscle.

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June 9, 2026 16 min read

Oral GLP-1 at Med Spas 2026: Foundayo, Oral Semaglutide & What Operators Must Know

The April 2026 oral GLP-1 approvals (Foundayo, oral semaglutide) change weight-loss programs. Efficacy vs injectables, prescribing, pricing, and how to add an oral track.

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June 8, 2026 30 min read

Med Spa Medical Director Cost & Agreement 2026: What to Pay, What to Sign, and How to Stay Compliant

The national pillar on medical director economics and contracts: FMV compensation by state, fee-splitting rules, agreement essentials, and the 2026 rent-a-doc crackdown. Synthesizes six state guides.

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June 1, 2026 30 min read

NP-Owned Med Spa Playbook 2026: 27 States, Three Models, and How Nurse Practitioners Are Building the Next Wave

The national pillar: 27 states, three practice authority models, $26B industry. Synthesizes the six state-specific NP playbooks into one navigable reference for the fastest-growing buyer persona in med spa.

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May 25, 2026 30 min read

State Med Spa Regulatory Changes 2026: How CA, NY, TX, FL, AZ & GA Reshaped the Year

The year-in-review pillar: six states, six mechanisms, one common thread. The 2026 regulatory map every multi-state operator must understand.

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May 18, 2026 23 min read

Hormone Therapy Compliance for Med Spas 2026: TRT, HRT, DEA & FDA Requirements

Testosterone is Schedule III, cBHRT is under FDA review, and an expert panel is recommending sweeping TRT rule changes. The full 2026 compliance playbook for TRT and HRT.

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May 9, 2026 28 min read

Med Spa Inspection Guide 2026: What State Boards Actually Check (and How to Pass)

When the inspector shows up: the 7 documents they ask for first, the 12 most-cited violations across states, and the 30-day prep checklist.

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May 1, 2026 10 min read

Med Spa DSCSA Compliance: What the FDA's First Warning Letter Means for Your Practice

The FDA issued its first DSCSA warning letter to a med spa in April 2026. What the Drug Supply Chain Security Act requires, what the Texas case means, and the November 2026 deadline.

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May 1, 2026 8 min read

Med Spa Regulations by State: 2026 Compliance Reference

State-by-state table covering medical director requirements, who can inject, laser requirements, and board contacts for FL, TX, CA, NY, GA, AZ, IL, and CO.

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Apr 28, 2026 13 min read

Med Spa Consent Forms: What Every Form Must Include

Required elements by treatment type, a free checklist, and the mistakes that turn a minor complication into a major lawsuit.

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Apr 28, 2026 14 min read

IV Therapy Compliance for Med Spas: Complete 2026 Guide

Who can legally administer IV drips, what SOPs and standing orders you need, and how to build a compliant IV therapy program from the ground up.

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Apr 17, 2026 12 min read

FTC Before and After Photo Rules for Med Spas: What Changed in 2023 — And What You Must Do Now

The FTC's 2023 update made "results not typical" disclaimers legally insufficient. Here's the new standard, the HIPAA layer most practices miss, and a copy-paste checklist for every post.

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Apr 3, 2026 16 min read

Med Spa Policies and Procedures Manual: What to Include

The complete section-by-section template for a med spa policies and procedures manual — administrative and delegation policies, per-service protocols, consent, HIPAA, OSHA, and emergencies. Plus the fastest way to get compliant.

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Clinical Protocol
Apr 1, 2026 16 min read

GLP-1 Injection Protocol for Med Spas: Semaglutide & Tirzepatide Dosing Guide

Complete dosing schedules, injection technique, patient monitoring, and adverse event response for semaglutide and tirzepatide weight loss programs.

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Mar 28, 2026 18 min read

How to Open a Med Spa: Complete Step-by-Step Guide (2026)

Licensing, medical directors, SOPs, equipment, and compliance — everything you need to open a legally compliant, profitable med spa from scratch.

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2026 Updated
Mar 21, 2026 14 min read

Tirzepatide Protocol for Med Spas: What Compliance Requires in 2026

What a compliant Tirzepatide SOP must include — Good Faith Exam, dosing, monitoring, compounding restrictions, and documentation requirements after the FDA shortage ended.

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Mar 17, 2026 12 min read

Botox Consent Forms for Med Spas: What Must Be Included

What the law requires in a Botox consent form — FDA Boxed Warning, risk disclosures, how consent and SOPs work together, and the documentation mistakes that create liability.

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Mar 12, 2026 15 min read

Med Spa Medical Director Requirements: What the Law Actually Requires

What a medical director must legally do — supervision requirements, standing orders, chart reviews, and how SOPs protect the MD and the practice from liability.

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Mar 7, 2026 13 min read

Weight Loss Injections at Med Spas: Complete Compliance Checklist for 2026

GLP-1 compliance checklist for med spas — prescribing requirements, documentation, compounding rules, monitoring protocols, and the most common violations regulators cite.

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Mar 3, 2026 14 min read

RF Microneedling Protocol: What a Compliant SOP Must Cover

What a proper RF microneedling SOP must include — contraindications, patient selection, energy parameters, Fitzpatrick-adjusted settings, aftercare, and complication management.

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FDA Alert
Feb 27, 2026 14 min read

GLP-1 Medications at Med Spas: Compliance After the FDA's 2026 Crackdown

The FDA just restricted compounded semaglutide and tirzepatide. What your practice must audit, fix, and document to stay compliant — and out of enforcement.

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Breaking News
Feb 24, 2026 10 min read

Florida's Med Spa "Wild West" Is Under Investigation — What Owners Must Do Now

A landmark Sun Sentinel investigation just exposed Florida med spas for operating without physician supervision. Here's what the law requires — and how to protect your business.

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Feb 20, 2026 14 min read

7 Compliance Mistakes That Get Florida Med Spas Shut Down

Avoid these preventable errors that cost practices their licenses every year. Covers medical directors, scope of practice, HIPAA, emergency preparedness, and more.

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Feb 18, 2026 11 min read

Med Spa Staff Training Requirements: What the Law Actually Requires

What the law actually requires for med spa staff training — scope of practice, supervision, OSHA mandates, and how to document training properly.

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Feb 16, 2026 12 min read

Florida Med Spa Compliance Checklist 2026 — Complete Guide

Every compliance area covered: licensing, medical director, SOPs, HIPAA, OSHA, emergency protocols, and patient documentation — all in one actionable checklist.

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Feb 14, 2026 12 min read

Med Spa Infection Control Standards: What Every Practice Must Know

OSHA and CDC infection control requirements for aesthetic practices. Surface disinfection, sterilization, hand hygiene, and bloodborne pathogen standards explained.

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Feb 13, 2026 11 min read

Who Can Perform Injectable Procedures in Florida?

The wrong answer can cost you your license. Complete breakdown of provider scope-of-practice requirements — with legal citations.

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Feb 10, 2026 13 min read

Anaphylaxis Emergency Protocol for Med Spas: A Life-Saving Guide

Learn the step-by-step anaphylaxis emergency protocol every med spa must have — from recognition to epinephrine administration and post-incident documentation.

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Feb 6, 2026 13 min read

Florida Med Spa Medical Director Requirements: 2026 Guide

Everything you need to know about finding, hiring, and working with a qualified medical director in Florida. Responsibilities, agreements, and compensation.

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Feb 3, 2026 11 min read

Med Spa SOPs: What They Are & Which Ones You Need (2026)

The hub for our Protocol & Compliance Series — what SOPs your med spa needs, how to write them, and which procedures require documented protocols.

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Jan 28, 2026 12 min read

Med Spa Emergency Protocol Checklist: Complete Guide for 2026

Everything you need to handle adverse reactions, protect patients, and safeguard your practice. Learn the 8 essential emergency protocols every med spa needs.

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Jan 21, 2026 15 min read

How to Handle Vascular Occlusion in Your Med Spa

A step-by-step guide to recognizing and responding to this time-critical filler complication. Learn the signs, response protocol, and prevention strategies.

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Jan 14, 2026 14 min read

HIPAA Compliance Guide for Med Spas: What You Actually Need in 2026

A practical guide to patient privacy requirements for aesthetic practices. Learn the 6 essential HIPAA documents every med spa needs and common violations to avoid.

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