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5 Despite the lack of long-term safety data and the presence of unidentified impurities (4.1%-5.9%) in commercially available products, the majority of respondents (93%) indicated that they planned to continue using melanotan, stating that it increased their self-perceived attractiveness and overall quality of life

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21,22 In one case, a 15-year-old male on valproic acid with a history of migraines, ADD, learning and behavioral problems acutely developed hyperammonemia and fatal cerebral edema OTC deficiency was diagnosed at autopsy