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These changes can indirectly affect the fetal immune system and further induce cortisol release via the hypothalamicpituitaryadrenal (HPA) axis to result in oxidative stress (Figure 1)

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Commonly Reported (Mild) Injection site irritation (redness, slight swelling, or tenderness) Mild headache or dizziness Temporary fatigue or feeling a bit off during or right after the cycle Occasional nausea (rare, usually mild) Less Common / Theoretical Because Epitalon activates telomerase, some researchers note a theoretical risk of abnormal cell growth