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"Patients present with really diffuse, multi-system-pattern issues, fluid retention, muscle aches, injection site reactions, and in some cases, notably with one called MK-677, some serious cardiovascular events like congestive heart failure." As the symptoms are nonspecific, she said, and patients may not disclose or even connect their peptide use to what's happening, "cases can really be missed until real harm happens to the patients." Holly F
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