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Disinfect vial tops: Use alcohol swabs on the peptide and bacteriostatic water vials

Similarly, although hepatic dysfunction can occur with large niacin doses (1-3 grams daily over months) causing elevated liver enzymes or jaundice, niacinamide at 100 mg is very unlikely to have any adverse effect on the liver

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Causing fatigue, skin pallor, shortness of breath, and dizziness

Unlike full growth hormone therapy, it does not raise IGF1 (Insulin-like Growth Factor 1) and does not cause systemic growth effects