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Fatigue accompanied by anhedonia, sleep disturbances, or changes in appetite beyond those expected from the medication warrants evaluation for depression, potentially using validated screening tools like the PHQ-9

No peer-reviewed study has tested any pairwise combination of the three

I will get labs done again next month (Dec) to see if the intrinsic factor is there/if it is indeed PA

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Most of these peptides are already easy to buy online today, usually labeled Research Use Only or not for human consumption. That label is doing less than it appears to