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Who May Need Extra Caution Extra caution may be needed for patients who are pregnant or trying to become pregnant, have active cancer or a cancer history requiring specialist input, have autoimmune disease, have clotting concerns, use immune-modifying medication, have uncontrolled diabetes, have significant kidney or liver disease, or are scheduled for surgery

These aggregated substances may increase the risk of formulation instability and potential sensitization

Precautions & Practical Advice for Maryland Patients Consult with a trusted provider: Work with a physician experienced in peptides or functional medicine

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Shiralee, which leads to a greater yield when compared to the single application of GSH or Put