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Most competing med spa content glosses over this section entirely or buries it in a single reassuring sentence

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Documented side effects are usually mild to moderate: Injection-site pain, redness, or bruising Flushing Increased heart rate Nausea or gastrointestinal upset Headache Urinary changes or a fishy body odor at higher choline doses Because these are compounded products, sterile technique, pharmacy sourcing, and formulation verification matter

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This applies to testosterone, Vivitrol, biologics, and specialty medications that patients obtain through a specialty pharmacy and bring to the office