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At high doses (3,000 mg and up) there can be mild nausea, diarrhoea and a fishy body odour (from a breakdown product that the gut bacteria make)

Determination that GEREF (Sermorelin acetate) injection, 0.5 milligrams base/vial and 1.0 milligrams base/vial, and GEREF (Sermorelin acetate) injection, 0.05 milligrams base/amp, were not withdrawn from sale for reasons of safety or effectiveness

Guideline on clinical investigation of medicinal products in the treatment or prevention of diabetes mellitus