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On examination, there was a haematoma over his right posterior leg, perifollicular petechiae on his anterior shins bilaterally ( Figure 1a , b ), and extensive lower limb ecchymoses ( Figure 2a , b )

When to reduce dose or stop Reduce your dose if side effects are persistent (lasting more than a few days), interfere with daily activities, or worsen rather than improve over time

Mixing peptides can lead to unknown chemical interactions, degradation, or precipitation

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N Engl J Med 370 (7): 599-609, 2014

About this article Cite this article Wang, Z., Jin, L., Wgrzyn, G