Weinstock, R.S., Guerci, B., Umpierrez, G., Nauck, M.A., Skrivanek, Z., Milicevic, Z., Ranthe, M.F., Paldnius, P.M., and Blonde, L
When to Call Your Doctor Severe abdominal pain Significant bloating or abdominal swelling Persistent nausea or vomiting Inability to pass gas, which can sometimes be a sign of a blockage in the colon Blood in the stool Black or tarry stools, which may indicate bleeding higher in the digestive tract Pencil-thin stools, which can be a sign of a narrowing or blockage Unexplained weight loss beyond what would be expected from the medication Fever A sudden change in bowel habits A lack of bowel movement for three to seven days, despite making lifestyle changes or taking over-the-counter medications New or worsening constipation after previously doing well on a GLP-1 medication Symptoms that persist for more than a few weeks despite treatment Resources We Trust Cleveland Clinic: Could You Be Pooping Better
Anecdotal reports suggest it is a potent anabolic but even amongst the IPED community, it appears there is some confusion over-dosing schedules and effects (Llewellyn, 2017)
Front Med (Lausanne) 2022;9:811639
The point of supervision is safety and results: screening catches contraindications, slow titration limits side effects, and check ins keep the plan on track no matter which form you use