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no regulatory approval exists as of April 2026 Side effects are primarily gastrointestinal, dose-dependent, and generally manageable with gradual dose escalation It is not commercially available through legitimate channels

N Engl J Med 2016;375:18341844 [DOI] [PubMed] [Google Scholar] 14

Specifications for purity, copper percentage, identity, and endotoxin are committed in writing before synthesis runs, keeping release decisions tied to measured chemistry rather than retroactive judgement

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