In addition to that very concerning laundry list of potential side effects, people are currently buying Melanotan II and its peptide peers from unregulated online sources, also known as the gray market
Caution is advised in patients with a history of pancreatitis, and these medications should be avoided during pregnancy or discontinued well before planned conception (e.g., 2 months before planned pregnancy for semaglutide based on its half-life)
Dosing is individualized, but a typical protocol titrates from a starting dose up to a target dose over 2 to 4 weeks, injected 5 days on and 2 days off, in defined cycles with scheduled breaks between them
Most studies on L-carnitine have shown modest or inconsistent results for weight loss in the general population
If improvements in sleep quality and deep sleep markers (selfreported) show up and theres no adverse effect, they may continue at that dose for 24 weeks before considering any increase (e.g., to 250 mcg)