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Unlike direct GH therapy, Sermorelin rarely causes significant fluid retention, carpal tunnel syndrome, joint pain, or severe insulin resistance that can complicate GH replacement, though mild versions of these effects are theoretically possible if GH stimulation is excessive

For instance, one employee said Ahmad asked her to find the unlicensed temporary workers to specifically help handle sterile compounded drugs and assemble kits for shipping and delivery to patients. Expired drugs, glass particles in vials, and Otter Pops Whistleblowers also told investigators, according to the states report, that Ahmad and Aequitas Head of Operations decided to switch to cheap medicine vials that ended up breaking and shattering