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This is not an idiosyncratic reaction, it is a dose-dependent, mechanism-linked consequence of the drug class

Fibromyalgia is a complex, whole-body condition often driven by inflammation, toxic burden, hormone imbalance, and gut dysfunction, and meaningful recovery requires a comprehensive root-cause approach

A legitimate COA should include HPLC purity (ideally greater than 98%), mass spectrometry confirmation of the correct molecular weight (3357.9 Da for sermorelin acetate), endotoxin testing results (LAL), and sterility testing if intended for injection

The clinical studies showing efficacy used concentrations in the range that produces measurable results without irritation

New England Journal of Medicine , 391(25), 2347-2357

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