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"Myostatin/activin receptor ligands in muscle and the development status of attenuating drugs." Endocrine Reviews 43.2 (2022): 329-365
This is not necessarily a problem, but it does mean that the first injection after an extended gap may feel like a step backward more nausea, more appetite suppression, more side effects even if you've been on the same dose for months
It is preventable by starting slow and using appropriate concentrations
There's no way to verify what you're actually receiving
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