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Possible side effects include: TRT Side Effects Elevated hematocrit (polycythemia) Acne or oily skin Fluid retention Testicular atrophy (manageable with hCG) Mood fluctuations during dose adjustments Potential fertility suppression Peptide Side Effects Injection site irritation or redness Temporary fluid retention Headaches or flushing Joint tightness (with GH-releasing peptides) Nausea (rare, more common with BPC-157) Sleep pattern adjustments Most side effects are dose-dependent and resolve with protocol adjustments

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Both peptides may be prohibited by various athletic organizations including the World Anti-Doping Agency (WADA), and their use could result in sanctions, disqualification, or other penalties for competitive athletes

Some patients also combine Dihexa with choline donors like Alpha-GPC or citicoline to support the raw materials needed for synapse function