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This is not the case in all countries - for example in Australia the government allows a pharmacist to give a biosimilar without the patients knowledge

Despite these excellent findings, researchers should note the potential for minor and transient side effects generally associated peptide administration: Injection site pain Dizziness Headache Fatigue Nausea Adverse effects may be more common with the use of low-quality peptides from unverified sources

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[17] Peptide fragments refer to fragments of proteins that are used to identify or quantify the source protein