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The biggest gap is that we know relatively little about the real-world health effects of these peptides because most have not been studied in rigorous human clinical trials, Jason Nagata, M.D., associate professor of pediatrics at the University of California in the US, tells us

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Theoretical or under-studied Liver enzyme changes community use guides recommend a baseline ALT/AST check and a recheck during long cycles

For most people injecting drugs, the additional blood borne virus risk reduction is secondary to the added convenience of a fixed needle syringe that doesn't need assembly