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SF: Investigation, Writing review & editing

Both patients presented with a clinical phenotype dominated by thyroid dysfunction and low plasma selenium levels, strongly reminiscent of SECISBP2-related syndrome, though a comprehensive selenoprotein workup was not performed in either case

This creates real risks: Peptides with low purity or incorrect dosing Contaminated vials or bacterial growth Counterfeit labeling To mitigate these risks, users often seek third-party tested suppliers or work through practitioners in peptide-friendly clinics that adhere to sterile compounding standards

79 In summary, immunosuppressive neutrophils function as a double-edged sword, with their harmful influence on disease progression demanding thorough evaluation and strategic consideration

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