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In the old days the Schillings test helped to solve this question

Impure products can contain: Incomplete synthesis fragments that may cause immune reactions Bacterial endotoxins from contaminated manufacturing Heavy metals from poor quality synthesis reagents Misidentified or substituted peptides entirely Degradation products from improper storage before sale Users who experience unusual or severe side effects should consider source quality as a potential cause

Some peptides may not mix well with certain immune drugs, steroids, or anticoagulants

metabolic panels, B12 levels), and patient education

This condition has been observed in persons who drink moonshine that was distilled in automobile radiators containing a high lead concentration

Ge T, Yang J, Zhou S, Wang Y, Li Y, Tong X