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Investigations should be conducted if patients have alarm symptoms (ie, dysphagia, odynophagia, hematemesis, vomiting, or unintentional weight loss), equivocal results on a treatment trial, recurrent symptoms after completion of a treatment trial, or atypical symptoms of sufficient importance to warrant confirmation of GERD

It doesn't build muscle the way testosterone does, and it won't show up as an anabolic agent on the kind of panel you'd run to check for that

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In both cases, Epitalon significantly enhanced telomerase activity, directly contributing to telomere elongation during the G1 phase of the cell cycle [ 25 ] [26 ]

Its a classic case of being penny-wise and pound-foolish