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The GP practice is making a decision based on what is easiest for the surgery, not what is best for the patient

Some find 8mg sufficient with fewer side effects

The powder may have been damaged during shipping (exposure to heat or excessive vibration) or may have a manufacturing defect

PMC7672413 EGRIFTA SV injection needle and labeled preparation - The FDA-approved tesamorelin kit supplies a 1/2-inch, 30-gauge injection needle and specifies its supplied sterile water for reconstitution

Since they are not legal to sell for human consumption some brands sell them as research chemicals with no instructions or guidance on use other than a label