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While some degradation studies suggest longer stability windows, practical experience indicates noticeable potency loss beyond one month

This is the same mechanism that supports tissue repair, but it is a meaningful contraindication for anyone with active or recent malignancy

Elizabeth Rebello, executive director of anesthesiology, critical care, and pain medicine at the University of Texas MD Anderson Cancer Center

Laboratory markers include suppressed free T3 with normal TSH (euthyroid sick syndrome), elevated cortisol, and in severe cases, low LH and FSH indicating hypothalamic suppression

That's a fancy way of saying it's three amino acids bound to a copper ion