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Patients at risk of adrenal crisis should be issued a STEROID EMERGENCY CARD ( found in patient information leaflet appendix 1 and can be found at www.endocrinology.org/adrenal-crisis) Sick day rule dosing for patients at risk of adrenal crisis is as follows (N.B

Research shows clear benefits: Better stability than oral delivery, which exposes peptides to harsh stomach conditions Less breakdown by enzymes that would destroy the peptide before it reaches the blood Easier compliance no needles, no mixing, just spray Potential for targeted delivery to specific tissues, including the brain via the olfactory pathway Nasal delivery works very well for peptides like BPC-157 that target the whole body