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So how do you think about when to start somebody on one of these drugs

Key quality indicators to look for include third-party testing with certificates of analysis (COA) showing purity above 98%, proper lyophilization (the powder should be a clean, white cake, not a yellow or clumpy mass), appropriate packaging (amber vials to protect from light degradation), and clear labeling including peptide identity, mass, lot number, and expiration date

Dehydration represents another potential contributor to fatigue

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