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Afr J Biol Sci

This hypothetical adverse effect, although not clinically reported until now, is analogous to the hypothalamic-pituitary axis suppression seen with long-term use of systemic corticosteroids Exacerbation of Helicobacter pylori associated peptic ulcers: Helicobacter pylori is known to feed on macrophages and neutrophils abundant at the site of inflammation caused by the ulcer

Let me break down what the clinical trials show, what receptor pharmacology tells us, and what I recommend based on years of working with this peptide in real-world optimization protocols

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