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Common side effects (typically mild): Injection site redness, itching, or mild irritation Temporary water retention during initial weeks Tingling or numbness in extremities (usually resolves with dose adjustment) Increased hunger (particularly with ghrelin-based peptides like ipamorelin) Mild headache during initial treatment Contraindications: Active cancer or history of cancer (growth hormone peptides can promote cell growth) Pregnancy or breastfeeding Uncontrolled diabetes Active infection (for BPC-157/TB-500 while they promote healing, treatment should begin after acute infection resolves) We require baseline blood work (including IGF-1) before prescribing any peptide and monitor your progress with follow-up labs at 8-12 weeks

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The protocol was approved by independent ethics committees or institutional review boards at each study site (a redacted protocol is provided separately)

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As a descriptive step, weight change distributions were summarized across clinically relevant discrete dose levels (semaglutide: 1.0, 2.4, and 7.2 mg

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The whole pipeline is built around long-acting and oral delivery, two of the three open problems in metabolic peptide drugs

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