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By contrast, with compounded or gray-market peptide products, its much harder to know if the molecule is exactly what it claims to be, if the dose is correct, whether the vial is sterile, or whether there are contaminants like heavy metals or bacteria present or if it's even a different drug altogether

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Both medications share similar goals

Propionyl-L-carnitine in intermittent claudication: double-blind, placebo-controlled, dose titration, multicenter study