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Serious risks, including kidney strain, liver issues, allergic reactions, and rare cases of Stevens-Johnson syndrome, are linked to high doses, counterfeit vials, and unsupervised administration

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Practitioner-reported injectable protocols commonly recommend subcutaneous doses of 250-500 mcg daily in a fasted state, whereas published human studies have evaluated oral doses between 1 and 5 mg daily

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Avoid submerging the injection site in pools or hot tubs for 24 hours to minimize infection risk from the small skin puncture

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Supplementary Information Additional file 1: (download DOCX Table S1

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