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According to the Summary of Product Characteristics (SmPC), these include: Nausea (very common, affecting more than 1 in 10 people) Diarrhoea (very common) Decreased appetite (very common) Vomiting (common, affecting up to 1 in 10 people) Constipation (common) Abdominal pain (common) Dyspepsia (common) Cholelithiasis (common) Headache (common) These gastrointestinal effects typically occur during the initial weeks of treatment or following dose escalation, and often diminish over time as the body adjusts to the medication

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Studies show that starting at 2.4 mg without titration dramatically increases the rate and severity of gastrointestinal side effects

For the complete shelf-life discussion by peptide, see BPC-157 Storage Temperature and Shelf Life and Peptide Storage Guide

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What to Do If You Have Concerns About a Prepared Dose Do not administer a dose if you have any doubt about its integrity