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You should seek urgent medical advice if you experience: Severe or persistent abdominal pain, which may indicate pancreatitis Persistent vomiting or diarrhoea leading to dehydration Severe headache or visual disturbance, which may suggest pituitary pathology Visual deterioration in the context of diabetes (possible retinopathy) You should also seek medical advice promptly if you: Are currently using or considering using unregulated peptides and experience unexpected symptoms Have noticed unexplained weight changes, fatigue, or hormonal symptoms Are managing a chronic condition such as diabetes, cardiovascular disease, or a hormone-related disorder Have purchased peptides online and are uncertain about their contents or safety Engaging with a qualified healthcare professional whether a GP, endocrinologist, or registered dietitian ensures that any intervention is tailored to your individual health needs, monitored appropriately, and aligned with current evidence

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2 PUVA and sunbed lentigines Clinical features Long-term psoralen photochemotherapy (PUVA) may be complicated by a variety of cutaneous pigmentary changes including variable hyper- and hypopigmentation, vitiligo-like features, and multiple lentigines

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