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Erythromelalgia can be primary (often a sodium channel gene mutation SCN9A with onset in adolescence or young adulthood) or secondary to myeloproliferative disorders, particularly polycythemia vera and essential thrombocythemia

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That search returns a confusing mix of providers: telehealth-only platforms shipping the peptide after a quick video call, online vendors selling vials labeled research only, longevity influencers promoting telomere claims, and a few medical clinics that actually run the protocol as supervised care