Besides the obvious infection risk, reused needles can introduce contaminants from the previous injection site back into the vial
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Many clinics do stack GLP-1 medications with other peptides for example, pairing tirzepatide with BPC-157 for patients who experience joint pain as they lose weight, or with CJC-1295 and Ipamorelin for muscle preservation
(6) V Zambelli, L Rizzi, P Delvecchio, E Bresciani, et al (2021) Hexarelin modulates lung mechanics, inflammation, and fibrosis in acute lung injury Drug Target Insights, 2021 Nov 27, Volume 15, Pages 2633
But, it also raises worries about their impact on mood and mental health