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Kenakin says this is always a hazard: If you have an oral drug, the organ that receives the highest dose is the liver 50% of all drugs fail on liver toxicity, he says

He thinks doctors should be monitoring patients bone health and nutrition labs to look out for risk of density loss and fractures

This makes it the first triple-agonist peptide to reach advanced clinical development

He is blunt about online vendors: lots of these come from China, are fraught with heavy metals, and some have been tested to contain no actual peptide at all (source)