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Field note · The evidence

Approval and a withdrawn request are different matters.

The dates belong with the answer, not in small print.

The US approval answer

As recorded on September 30, 2026, TB-500 had no FDA approval for treating any condition in the United States.

Source a

Using an approved medicine for a purpose its official instructions do not list is called off-label use. TB-500 is different: there is no FDA-approved TB-500 medicine or official product label to start from.

Source a

What the withdrawn request means

The FDA ingredient page marked current April 22, 2026 lists TB-500 among requests that were taken back. Someone had asked the FDA to consider letting pharmacies use TB-500 as a raw ingredient, then took that request back.

Source b

Taking the request back gave no approval or permission to use TB-500. The FDA still shows its safety concerns beside the entry. The page does not say when TB-500 moved from the safety-risk list to the list of requests taken back. That move did not give pharmacies new permission to use it.

Source b

The committee did not rewrite the rule

FDA staff proposed against adding TB-500 to the pharmacy ingredient list in July 2026. By the September 30, 2026 check, the FDA had posted no record of the advisory committee’s votes.

Source c

An advisory committee gives advice. The rules checked September 26, 2026 require more than a committee vote to change the ingredient list. For an ingredient-list change, the FDA has to publish its proposal, then allow comments from the public.

Source e

A headline about a meeting, a table change or a request can sound decisive. Read what the record actually changes and what it leaves in place. Keep the date beside any answer you receive.

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