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Amputations, heart attacks, days of vomiting: The horror toll of backyard peptides Victorians are landing in emergency departments after suffering severe side effects linked to illegal peptides, including vomiting, abdominal cramping, and chest pains that mirror heart attacks

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Some of the most common issues include persistent glossitis , which is inflammation of the tongue, as well as frequent mouth ulcers and a burning sensation in the mouth

Available evidence suggests that these agents have similar efficacy, for example: An RCT comparing valproic acid and lacosamide found that the agents were equally efficacious when adequately dosed (e.g., 400 mg IV lacosamide)

Immediately you can gauge which is appropriate based on allergies