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While less directly relevant to most peptide and HRT compounds, it applies to pharmacies that handle chemotherapy agents or certain hormones classified as hazardous by the National Institute for Occupational Safety and Health (NIOSH)

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The patient described an emotional state entirely unlike anything he had experienced before: pervasive low mood, loss of interest in activities he had always found meaningful, profound fatigue, hypersomnia pushing sleep beyond ten hours most nights, psychomotor slowing, difficulty concentrating, and passive thoughts of death without any plan or intent