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Epitalon is usually administered via intravenous or intramuscular injection or transdermally (through the skin), as peptides are broken down in the digestive tract and therefore unable to enter the bloodstream, where they can exert their effects, intact

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Some patients also develop gallstones , dumping syndrome (where food moves from the stomach into the small intestine too quickly), or long-term vitamin and mineral shortages , requiring lifelong supplements and regular blood tests