Peptides are surging across Australia, straining needle exchange programs and putting public health at risk as users—ranging from fitness enthusiasts to everyday seekers of quick fixes—turn to unregulated substances bought online, often with dire consequences like liver damage and emergency room visits. With demand skyrocketing up to fourfold, vital harm reduction services face shortages, staff cuts, and even empty vending machines in rural areas, threatening years of progress against HIV and hepatitis by pushing users back toward unsafe syringe sharing.

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