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Inject slowly into the peptide vial: Direct the stream of liquid gently down the inside wall of the vial rather than directly onto the lyophilised powder, to minimise foaming and potential denaturation

Supplemented by 400 mg of NAC and 100 mg of alpha-lipoic acid for comprehensive supply

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When You Will Receive Your Next Appointment Early follow up is essential for safe dose escalation

Long-term effects and interactions with other medications remain unexamined

Health and lifestyle information included smoking status (non-smoker vs current smoker), alcohol consumption as units per week, physical activity assessed using the International Physical Activity Questionnaire (IPAQ, expressed in Metabolic Equivalent Total (MET) minutes per week [46], and body mass index (BMI) measured during physical examination