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But, as the NYT notes, though the 14 peptides were technically restricted by the government (meaning compounding pharmacies were not allowed to produce them), consumers could still purchase them via the online gray market and play doctor from the comfort of their kitchen

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Mechanistically, ammonium disrupts acidic compartments, as indicated by reduced LysoTracker staining, likely impairing the pH-dependent maturation of perforin (79)

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