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The most commonly reported side effects are mild and transient, including injection site reactions (redness, slight swelling, or tenderness), mild headaches during the initial days of use, and occasional dizziness or lightheadedness, particularly when starting the peptide

Procedure narrative confirming EHL transfer: explicitly describes the EHL tendon being released, mobilized, and re-routed to the first metatarsal neck not just tendon transfer or soft tissue procedure. IP joint fusion confirmation: documents the joint preparation (cartilage removal, bony surfaces prepared), fixation method used (K-wire, screw, or staple), and the position of fusion (typically 5-10 degrees of plantar flexion)

Works well Definitely helped curb my appetite

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