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While skeletal muscle detoxifies ammonia, hyperammonemia decreases serum BCAA and increases myostatin levels, both of which result in inhibition of mammalian target of rapamycin signaling and decreased protein synthesis [41, 42]

Masai et al., 2003

Quick Answer: Melanotan II side effects include nausea (reported in 50-80% of users), facial flushing (40-60%), injection site reactions, changes in existing moles, spontaneous erections in males, and fatigue