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These findings were not attributed to variations in food intake, which implies that the observed results were mediated by alterations in metabolic processes [1]

When to seek medical advice: Persistent or worsening injection site reactions (increasing redness, warmth, or discharge suggesting infection) Severe or persistent headaches Chest pain or palpitations Unexplained muscle weakness or cramps New or worsening neurological symptoms despite treatment Unexpected bleeding or bruising For non-emergency concerns, contact your GP or NHS 111

A further safety concern highlighted by the ADDF is the possibility that synthetic or isolated preparation of epithalon may constrain impurities and pose a safety risk [1]