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Hands: Among the slowest responses

The NIH professional fact sheet is a reliable reference

When intake explains the result and the patient is well, with no concerning clinical or laboratory findings,it can often be attributed as the likely cause without an extensive search for disease

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Bruun JM et al

Essentially, the clinic administering the peptide (which the patients paid for out-of-pocket) later phoned patients to ask if they felt better, and wrote up the responses