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Two full doses within days of each other dramatically increases drug levels and can cause severe nausea, vomiting, and gastrointestinal distress

Red flag symptoms requiring urgent evaluation include sudden severe pelvic/abdominal pain, fever, heavy bleeding with syncope, positive pregnancy test (to rule out ectopic pregnancy), or signs of bowel or urinary obstruction

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Ipamorelin's design aims to maximize growth hormone output while minimizing these other effects