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Researchers propose that the peptide's brief presence is sufficient to trigger a cascade of gene expression changesincluding activation of transcription factors c-Fos, c-Jun, and Egr-1that initiate self-sustaining healing processes well beyond the peptide's physical presence
In these situations patients may remain on a lower dose rather than stepping up to 12.5 mg or 15 mg
Fortunately, this is not the typical experience for most patients
While compounded medications are not FDA-approved as finished products, the active ingredient is identical and testing protocols ensure potency and sterility
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