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Wade H, Pan K, Zhang B, Zheng W, Su Q

over-the-counter creams and suppositories may offer temporary alleviation, but they rarely address the underlying inflammation or provide lasting comfort

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Peptide Vials (DSIP, 5 mg each): 8 weeks at ~200 mcg/day avg 23 vials 12 weeks at ~200 mcg/day avg 34 vials 12 weeks at ~300 mcg/day avg 56 vials Insulin Syringes (U-100): Per week: 7 syringes (1/day) 8 weeks: 56 syringes 12 weeks: 84 syringes Bacteriostatic Water (10 mL bottles): Use ~3.0 mL per vial for reconstitution

Nausea, diarrhea, and vomiting are the most common adverse events, particularly during dose escalation