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Diabetes 73, 856863

Give patient information sheet appendix 1 GIVE ADVICE ON SICK DAY RULES and give STEROID EMERGENCY CARD ( For advice on how to safely withdraw long term steroids see patient information letter ) see page 5 GASTROPROTECTION: PPI (proton pump inhibitor) therapy should not be given routinely but should be considered for people at high risk of gastrointestinal bleeding or dyspepsia

Commonly Reported Research Observations Injection-site redness or irritation Temporary swelling or warmth sensation at the administration site Burning or stinging during administration Temporary skin sensitivity or irritation Mild headaches Temporary fatigue or tiredness Mild nausea Temporary itching or flushing sensations Temporary blue-tinted discoloration beneath the administration area in some research settings Copper-Related Research Considerations Because GHK-Cu is a copper-binding peptide, some research protocols may monitor for: Copper- and zinc-balance variability Increased sensitivity in higher-frequency protocols Temporary skin-related response variability Individual differences in antioxidant-response pathways Research involving prolonged or higher-frequency protocols commonly investigates the inclusion of: Zinc supplementation Vitamin C supplementation alongside GHK-Curelated research models

Apart from this you need to stop medications which contain: Gamma-L-glutamyl-L-cysteinylglycine, GSH, L-glutathione, or N-(N-L-gamma-glutamyl-L-cysteinyl) glycine