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The most common side effects are gastrointestinal and usually temporary: - Nausea (most common, especially in first weeks) - Mild constipation or diarrhea - Reduced appetite (this is also the intended effect!) - Occasional fatigue during dose increases Our physicians use a gradual dose-escalation protocol if needed, specifically designed to minimize these effects

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Inspect every vial visually upon receipt

These conditions may have soft tissue components that respond to treatment, but the underlying structural issues persist

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