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Possible side effects include: TRT Side Effects Elevated hematocrit (polycythemia) Acne or oily skin Fluid retention Testicular atrophy (manageable with hCG) Mood fluctuations during dose adjustments Potential fertility suppression Peptide Side Effects Injection site irritation or redness Temporary fluid retention Headaches or flushing Joint tightness (with GH-releasing peptides) Nausea (rare, more common with BPC-157) Sleep pattern adjustments Most side effects are dose-dependent and resolve with protocol adjustments

Fertility and Sterility , 98(3), 564-571

People with a history of allergy to cobalamin should avoid taking vitamin B12

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Prescriptions must be issued by a primary care physician or licensed medical doctor practicing within the USA only