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Nausea is most intense on days 13, especially with doses above 250 mcg

K62.5 Rectal HemorrhageClinical term: Rectal hemorrhagePresentation: Bright red blood (hematochezia)Likely procedure support: Colonoscopy or sigmoidoscopy K92.1 MelenaClinical term: MelenaPresentation: Black, tarry, foul-smelling stoolLikely procedure support: EGD (upper GI endoscopy) R19.5 Occult BloodClinical term: Occult bloodPresentation: Microscopic blood (found via FOBT/FIT)Likely procedure support: Screening or diagnostic colonoscopy The Clinical Logic of Coding Bright Red Blood (K62.5): Indicates a lower GI source

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doi:10.1097/FJC.0000000000000739 Cambray S, Ibarz M, Bermudez-Lopez M, et al

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Melanotan II produces high nausea especially during the loading phase, though no controlled data exists