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Staff are often unfamiliar with the product entirely, commonly confusing it with sterile water or saline flush

In people with normal absorption, deficiencies have been reported only in strict vegetarianswho consume no products of animal origin (including no milk products or eggs)

This absence of growth hormone-related side effects reflects the peptides selective mechanism and lack of growth hormone receptor binding

BOMSS guidance further specifies monitoring responsibilities: specialist multidisciplinary team (MDT) follow-up is recommended for at least two years after surgery, with lifelong monitoring thereafter, typically in primary care