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Do not combine topical GHK-Cu with strong acids (low-pH vitamin C, AHAs, BHAs) in the same application because pH conflict can destabilize the peptide

Liu P, Wang W, Li Z, Li Y, Yu X, Tu J, et al

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- when there is risk of torsades de pointes, for example in patients with prolonged QT, concomitant administration of other medications that produce torsades de pointes (amiodarone, quinidine, bepridil, IV erythromycin, halofrantine, pentamidine, sparfloxacin, sultopride, vincamine, betrilio, disopyramide, sotalol, etc)

Erratic timing disrupts this adaptation