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Possible side effects include: TRT Side Effects Elevated hematocrit (polycythemia) Acne or oily skin Fluid retention Testicular atrophy (manageable with hCG) Mood fluctuations during dose adjustments Potential fertility suppression Peptide Side Effects Injection site irritation or redness Temporary fluid retention Headaches or flushing Joint tightness (with GH-releasing peptides) Nausea (rare, more common with BPC-157) Sleep pattern adjustments Most side effects are dose-dependent and resolve with protocol adjustments
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NEJM 2025 (REDEFINE-2) Novo Nordisk FDA NDA submission announcement (December 18, 2025) Eli Lilly TRIUMPH-4 topline results (December 2025) Frequently Asked Questions Retatrutide produces higher weight loss at 28.7% versus CagriSema's 20.4%a difference of 21 pounds for a 250-pound person
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