Most reactions are mild to moderate, but you should expect some level of joint or muscle discomfort especially in the first weeks
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Simple timing framework Baseline Discuss baseline labs before starting, especially with autoimmune disease, gut symptoms, active injury, infection concern, liver disease, kidney disease, or copper concerns
Toxic solvent residues DMF (dimethylformamide) Known liver toxin Associated with reproductive toxicity Must be removed to extremely low limits in GMP drugs DCM (dichloromethane / methylene chloride) Probable human carcinogen Central nervous system depressant Dangerous even in small amounts if injected TFA (trifluoroacetic acid) Corrosive Can remain in peptides as unmeasured TFA salt Pharmaceutical products often convert TFA salts to safer counterions Without validated HPLC, mass spectrometry, and residual solvent testing, patients may be injected with harmful chemical contaminants