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It just raises the chance of side effects

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From the most common to the least common, they include [23]: Injection site reactions, like pruritus, rash, pain, and swelling (3.1%) Arthralgia (2.4%) Pain in the extremities (1.1%) Myalgia (1.1%) Peripheral edema (1.1%) Paresthesia (0.9%) Hypoesthesia (0.7%) Rash (0.7%) Dysepsia (0.3%) Muscle pain (0.3%) Pruritus (0.3%) Vomiting (0.3%) Muscle stiffness (0.3%) Carpal Tunnel Syndrome (0.2%) Joint swelling (0.2%) Night sweats (0.2%) Palpitations (0.2%) Use in Specific Populations In addition to the adverse effects listed above, researchers must be extra cautious when administering tesamorelin to test subjects in the following populations: Individuals with hypothalamic-pituitary axis issues

Intramuscular (IM) injections bypass the gastrointestinal tract entirely, making them particularly effective when oral absorption is unreliable or when a confirmed deficiency requires prompt correction