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This could be a documented clinical difference (such as the need for glycine for muscle preservation or a specific dose not available in brand-name pens) or documented inability to obtain the brand-name product

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After reviewing the available research and countless user experiences, the evidence suggests that tissue healing responds to quality signals rather than signal quantity

[10] Gastrointestinal disturbances-including nausea, loose stools, and a transient fishy body-odor attributable to trimethylamine production from excessive carnitine and choline metabolism-occur in a minority of recipients and are usually self-limiting within 24 to 48 hours after injection