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The grade was determined by a five-point bipolar scale, ranging from "none" (0 points) to "excessive" (4 points)

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If you've exhausted conventional options and erosions persist on endoscopy, the mechanisms are specific enough to justify the conversation with your gastroenterologist

Inform healthcare providers about GHK-Cu use before any procedures Monitor for unusual skin reactions or systemic effects Consider periodic copper and zinc level testing for extended protocols Start with lower doses and increase gradually to assess tolerance Use only pharmaceutical-grade peptides from reputable sources For extended use protocols, periodic laboratory monitoring adds an additional layer of safety