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2022 Jul 21;387(3):205216

When I was a junior doctor in London and Dublin, our wards were full of people suffering the end-stage consequences of uncontrolled hypertension intracranial hemorrhages, heart failure, renal failure

The problem was never knowing what to do

Side Effects and Safety Profile Sermorelin is generally well tolerated when used under medical supervision, but it may affect growth hormone-related markers and glucose metabolism

They put lives at risk, and the consequences can be severe, or even fatal. There is a darker historical rhyme worth naming, because the weight-loss black market has produced lethal adulterants before