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Brunner says that the gray market is currently the primary dispensing mechanism of peptide injectables, using research-grade active pharmaceutical ingredients

This may lead to subsequent physiological abnormalities including gut dysbiosis and systemic inflammation, eventually resulting in a pathological clotting system, chronic endothelialitis, vasoconstriction, and hypoxia, as found in similar conditions such as heat stroke (183)

There is no validated lab marker for NNMT inhibition outside research labs

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removed BPC-157 and 11 other peptides from Category 2