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Evidence-based GLP-1 & peptide discussion since 2023
ForumsInternationalHas anyone dealt with brought my sema through customs and almost had a heart attack? Page 5

Has anyone dealt with brought my sema through customs and almost had a heart attack?

NurseKim_ATL Tue, Nov 11, 2025 at 7:09 AM 28 replies 1,190 viewsPage 5 of 6
anders_CPH
Senior Member
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7,234
Feb 2024
Copenhagen, DK
Nov 16, 2025 at 2:39 PM#21

One concrete data point for the thread. Practical: whatever you change, write down the date and the reason. In three months the reason is what you will have forgotten, and the reason is what makes the record worth having.

35 10CryptoCarl, MariaRD, AussieAnna and 32 others
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PedsEndoPhilly
Member
345
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Jun 2024
Philadelphia, PA
Nov 17, 2025 at 5:00 AM#22

A narrower follow-up, since the general answer is now clear:

What did you change at the same time, and can you separate the two now?

34 9wendy_avl, jason_paloalto, Dr.LeslieOBGYN and 31 others
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bri_stats
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May 2024
Seattle, WA
Nov 17, 2025 at 7:21 PM#23
anders_CPH said:
Practical: whatever you change, write down the date and the reason.

This is where I part company with the consensus forming above. Not convinced. The evidence being cited is consistent with the conclusion and also consistent with two other conclusions nobody has ruled out.

33 8TomFromTexas, mike.trainer_LA, sarah_nash92 and 30 others
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KarenAZ_mom
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Aug 2024
Scottsdale, AZ
Nov 18, 2025 at 9:42 AM#24
anders_CPH said:
Practical: whatever you change, write down the date and the reason.

No disagreement, though the timescale matters more than the mechanism here. Most of what looks like a difference in kind turns out to be a difference in how long somebody waited.

32 7LibrarianMeg, bri_stats, pete_manc_UK and 29 others
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SleepDoc_PDX
Member
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Sep 2024
Portland, OR
Nov 19, 2025 at 12:02 AM#25
anders_CPH said:
Practical: whatever you change, write down the date and the reason.

Bookmarking. The distinction being drawn above is the one nobody else makes. Taking it to my next appointment.

31 6mel_PDX, Dr.AddMedPHL, newstart_MO and 28 others
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