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Tesamorelin will not reliably curb hunger, and patients expecting that effect will not get it
Sterile water contains no preservative, so after the first puncture, the vial is at high risk for bacterial contamination
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Concluding my thoughts
The most important thing is to find a solution that is sustainable and works for you in the long term
Oral and nasal delivery exists for some peptides (notably BPC-157), but the evidence for bioavailability equivalence is weaker
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