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When used with selective serotonin reuptake inhibitors (SSRIs), the combination can increase serotonin levels to dangerous levels, leading to potentially fatal serotonin toxicity

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The doctor, who has been studying the rise of peptide use and is pushing for tighter regulations, said many of the substances had not even been tested on humans

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doi:10.3389/fncel.2015.00003

Most people tolerate it well, but mild skin irritation is normal