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    Oxytocin

    Hormones & Endocrine (Non-GH)

    Status
    FDA-Approved
    Evidence

    Human trials, mixed, graded on the Social Confidence Nootropics bench

    Oxytocin is a nine-amino-acid cyclic peptide hormone synthesized in magnocellular neurons of the hypothalamic paraventricular (PVN) and supraoptic nuclei (SON), then transported along axons to the posterior pituitary for release into systemic circulation.

    Reviewed

    01Overview

    What Oxytocin is

    Vincent du Vigneaud synthesized oxytocin in 1953, becoming the first scientist to chemically synthesize a peptide hormone and earning the 1955 Nobel Prize in Chemistry for the achievement. The isolation and characterization of oxytocin marked the beginning of modern peptide pharmacology and established the template for all subsequent peptide drug development. Oxytocin's classical roles — uterine contraction during labor and milk ejection during breastfeeding — have been understood since the early 20th century and form the basis of its FDA approval as Pitocin (synthetic oxytocin) for labor induction and augmentation, postpartum hemorrhage control, and lactation support.

    Read the full overviewShow less

    The story of oxytocin as something far more interesting than a reproductive hormone began in the 1990s, when researchers including Sue Carter, Thomas Insel, and Larry Young discovered that oxytocin released centrally in the brain (rather than peripherally through the posterior pituitary into blood) acts as a profound modulator of social behavior, pair bonding, trust, empathy, maternal behavior, and sexual response. Prairie vole studies showed that central oxytocin (and its sister peptide vasopressin) mediates the difference between monogamous and promiscuous mating strategies; human studies showed that intranasally administered oxytocin modulates trust, generosity, gaze patterns, and emotional recognition (Kosfeld et al., 2005, [Insel & Young, 2001]). This "social neuropeptide" framing generated enormous scientific and popular interest and motivated clinical trials exploring oxytocin for autism spectrum disorders, post-traumatic stress disorder, social anxiety, schizophrenia-related social dysfunction, and relationship therapy applications.

    Results from those clinical trials have been more nuanced than the early excitement suggested. Large randomized controlled trials in autism have shown mixed-to-disappointing results ([Sikich et al., 2021 NEJM]). The initial Kosfeld "trust" finding and related social cognition effects have been difficult to replicate consistently, leading to a reckoning about methodological issues in the early oxytocin literature ([Nave et al., 2015 meta-analysis]). What has held up is that oxytocin does produce subtle, context-dependent effects on social and emotional processing in some people under some conditions — but it is not the universal love-and-trust drug that early popular science coverage sometimes implied. The pharmacology is more sophisticated than a simple "love hormone" narrative allows.

    In current clinical practice, oxytocin has well-established approval for obstetric uses (Pitocin IV for labor, Syntocinon nasal spray for milk letdown in some markets). Off-label and grey-market use of oxytocin — typically via compounded nasal spray or subcutaneous injection — is pursued for three main reasons: (1) improving sexual and emotional connection with partners, which is the most common recreational motivation and the one with the most credible (if limited) evidence base; (2) managing social anxiety, autism-spectrum social challenges, or post-traumatic stress symptoms under self-directed protocols; and (3) adjunctive use during couples therapy, psychotherapy, or other relational contexts where the modest pro-social effects may facilitate the therapeutic process. None of these off-label uses is supported by rigorous efficacy evidence comparable to what exists for approved indications, and the intranasal route that most community use relies on has significant questions about how much centrally active oxytocin actually reaches the brain after nasal administration ([Leng & Ludwig, 2016]).

    This entry covers what oxytocin does biologically, what clinical evidence exists for its various uses, and the practical realities of off-label oxytocin use including route-of-administration uncertainties, duration of effect, and limitations. Unlike many peptides covered here, oxytocin has a genuinely large scientific literature — several thousand published human studies — but separating signal from noise in that literature requires careful reading. Cross-links to related compounds include PT-141 (Bremelanotide) for central sexual arousal effects through an independent (melanocortin) mechanism, and Kisspeptin-10 for reproductive axis and desire effects through yet another distinct mechanism.

    How it works

    Oxytocin signals primarily through the oxytocin receptor (OXTR), a single G-protein-coupled receptor (GPCR) encoded on chromosome 3p25.3 in humans. OXTR couples predominantly to Gαq/11 signaling, activating phospholipase C, generating IP3 and DAG, raising intracellular calcium, and driving downstream effector responses depending on tissue. Oxytocin also has some cross-reactivity with the three vasopressin receptors (V1aR, V1bR, V2R), particularly at higher doses — a cross-reactivity that complicates interpretation of many oxytocin experiments because vasopressin has overlapping but distinct behavioral and autonomic effects.

    Read the full mechanismShow less

    Peripheral Actions (Classical Endocrine):

    • Uterine Smooth Muscle: OXTR expression on myometrial cells rises dramatically in late pregnancy, making the uterus increasingly responsive to oxytocin and enabling the oxytocin-driven contractile cascade that produces labor. Peripheral oxytocin administration (Pitocin) during labor exploits this.
    • Mammary Myoepithelial Cells: Oxytocin triggers contraction of myoepithelial cells surrounding milk-secreting alveoli, ejecting milk through the ducts during nursing. The milk-ejection reflex is one of the most reliable and dramatic oxytocin effects.
    • Vascular Smooth Muscle: Oxytocin can produce modest vasodilation at low doses and vasoconstriction at high doses, contributing to minor blood pressure effects.
    • Adipose Tissue: Peripheral OXTR expression on adipocytes contributes to modest lipolytic and glucose-homeostasis effects.
    • Cardiac Tissue: OXTR expression in cardiomyocytes and cardiac fibroblasts suggests local cardiovascular roles, though clinical significance is uncertain.

    Central Actions (Behavioral Neuropeptide): Oxytocin released centrally within the brain — not oxytocin released peripherally into blood — produces the social, emotional, and behavioral effects that have drawn popular attention. Key brain regions expressing OXTR include:

    • Amygdala: Reduces threat-related responses; modulates fear learning and extinction. This is the primary mechanism for oxytocin's anxiolytic effects.
    • Nucleus Accumbens and Ventral Tegmental Area: Mediates reward-related effects of social bonding. Particularly important for pair bonding and maternal attachment.
    • Hippocampus: Modulates social memory and recognition.
    • Prefrontal Cortex: Modulates top-down emotion regulation and social cognition.
    • Hypothalamus (autoregulation): Oxytocin neurons receive feedback from their own release, contributing to pulse patterning.

    The Blood-Brain Barrier Problem: This is the critical pharmacological issue with any peripheral oxytocin administration for central effects. Oxytocin is a polar peptide that crosses the intact blood-brain barrier poorly — estimates suggest less than 0.005% of peripheral oxytocin reaches brain parenchyma. Peripheral plasma oxytocin levels correlate weakly with CNS oxytocin concentrations, and in many situations the two are decoupled entirely. This means that subcutaneous or IV oxytocin produces powerful peripheral effects (uterine contraction, milk ejection) but uncertain central effects.

    Intranasal Oxytocin and the "Nose-to-Brain" Debate: Most research and off-label use of oxytocin for behavioral effects relies on intranasal administration. The theoretical rationale is that peptides can reach the brain directly through the olfactory and trigeminal nerve pathways, bypassing the BBB. Empirical evidence for this route is mixed: some cerebrospinal fluid measurements suggest intranasal oxytocin does raise CSF oxytocin (suggesting central delivery), while other studies find no measurable CSF effect. Behavioral and fMRI studies consistently show some effects of intranasal oxytocin that suggest central activity, but the magnitude varies substantially across studies and individuals. The pharmacokinetic uncertainty is one reason oxytocin research has been less reproducible than for many other drugs.

    Pharmacokinetics:

    • Subcutaneous oxytocin peak plasma level: 10-15 minutes post-dose; plasma half-life: 3-5 minutes
    • Intranasal oxytocin plasma rise: minimal (most of the dose is absorbed locally rather than systemically); duration of behavioral effects: 30-60 minutes for most assays, up to 2 hours in some contexts
    • Oxytocin is degraded by multiple tissue peptidases including oxytocinase (placental), and plasma clearance is rapid

    Individual Variation: OXTR has well-characterized genetic polymorphisms (rs53576 being the most studied) that modulate individual response to oxytocin. People with different OXTR genotypes appear to show different behavioral responses to exogenous oxytocin, though the effect sizes are small and not yet practically actionable at the individual level.

    Comparison to Related Peptides:

    • PT-141 (Bremelanotide): Acts at MC4R, drives central sexual arousal through a completely separate mechanism. Can be used alongside oxytocin for different aspects of sexual response — PT-141 more focused on physical arousal/desire, oxytocin more focused on emotional connection and bonding.
    • Kisspeptin-10: Primary reproductive axis driver; also has limbic effects on desire but through a different receptor (KISS1R). Kisspeptin drives hormone production; oxytocin modulates social/emotional behavior at given hormone levels.
    • Vasopressin (AVP): Sister peptide with overlapping and distinct effects, particularly pronounced on social behavior in males. Oxytocin's cross-reactivity with vasopressin receptors means some oxytocin effects may actually be vasopressin-mediated.

    Studied for

    • Autism spectrum disorder
    • Social anxiety
    • PTSD
    • Addiction
    • Postpartum depression

    Benefits listed

    • Social and emotional bonding (subtle, context-dependent)
    • Situational social-anxiety relief
    • Enhanced intimacy and post-orgasm bonding
    • Labor induction and milk let-down (approved obstetric use)
    Show 1 moreShow less
    • Trauma-focused therapy adjunct (investigational)

    What to expect

      • Effects are subtle, not dramatic - most report mild warmth, relaxation, and slightly easier emotional/social engagement rather than any euphoria
      • A meaningful minority feel nothing at all; non-response is common and is not overcome by higher doses
      • Onset is roughly 20-45 minutes after intranasal dosing; subjective effects typically last 45-120 minutes
      • Response is highly context-dependent - strongest during genuine social or intimate interaction, minimal in passive solitary use
      • Some people (especially those with insecure attachment styles) experience paradoxical effects such as heightened anxiety, mistrust, or emotional reactivity
      • No recreational high and no withdrawal on stopping

    Individual responses vary. Timeline based on commonly reported research observations.

    02Research

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    What the research shows

    Graded on a research bench

    Reference pages that put Oxytocin next to the compounds people pair it with: roles, evidence, overlap and conflicts. No dosing. Research use only.

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    • A summary of the key research
    • Safety and side effects
    • A link to the PubMed results

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    03Safety

    Oxytocin side effects and interactions

    Side effects

    Low risk

    Stop use if

    • Pregnancy (risk of premature labor with systemic use)
    • Hyponatremia conditions

    Common

    • Headache
    • Nausea (intranasal)
    • Flushing
    • Antidiuretic effects at high doses

    Less common

    • Hyponatremia (large IV doses)
    • Uterine hyperstimulation (therapeutic use)
    • Cardiovascular effects

    Who should not use it

    Contraindications

    Absolute contraindications:

    • Pregnancy (outside of obstetric medical supervision) — oxytocin triggers uterine contractions and can induce miscarriage or preterm labor
    • Active labor without obstetric supervision — oxytocin stimulation of an unsupervised labor can cause uterine rupture, fetal distress, or other emergencies
    • Active hyponatremia or SIADH — oxytocin's modest V2 activity can worsen water retention
    • Significant hypersensitivity to oxytocin preparations (rare)
    • Active ongoing psychosis — oxytocin may paradoxically worsen suspiciousness in certain psychiatric contexts
    Read all the contraindications and cautionsShow less

    Strong relative contraindications:

    • Severe cardiovascular disease with sensitivity to blood pressure changes
    • Significant arrhythmia history
    • Severe attachment-trauma-related psychiatric conditions without therapist oversight
    • Users with history of concerning dissociation or emotional reactivity to prior oxytocin exposure
    • Breastfeeding women considering use for non-obstetric purposes (may produce unwanted milk letdown)

    Drug interactions:

    • Vasopressin analogs (desmopressin, vasopressin): additive V2 activity; increased hyponatremia risk
    • Excessive IV fluids or water intake: hyponatremia risk
    • Prostaglandin analogs, misoprostol, other uterotonics in pregnancy: absolute contraindication to combination outside obstetric supervision
    • High-dose opioids (chronic): may blunt oxytocin effects
    • MDMA and other pro-social psychedelics: no clear clinical benefit to combination; adds pharmacological complexity

    Specific Situations Requiring Caution:

    • Users with insecure attachment styles or borderline personality features: research suggests paradoxical effects (worsened trust, heightened suspicion) in some of these individuals. Cautious exploration with professional support is warranted.
    • Users currently processing fresh trauma: oxytocin's effects on emotional processing can be intense; consider whether active trauma work is an appropriate context.
    • Couples in distressed relationships: the temporary bonding effect may mask incompatibility or amplify pain of reconciling with unresolved conflict.

    Stop using if:

    • Any sign of pregnancy (missed period, positive test, unusual pelvic/uterine sensations)
    • New-onset significant psychiatric symptom (paranoia, severe mood change, dissociation)
    • Cardiovascular symptoms (chest pain, palpitations, significant blood pressure change)
    • Signs of hyponatremia (confusion, lethargy, seizures — emergency)
    • Unusual fluid retention or weight gain
    • Concerning relationship or interpersonal changes linked to oxytocin use

    Monitoring:

    • Typically minimal medical monitoring needed for intermittent use at standard doses
    • For chronic daily use: consider periodic basic metabolic panel (to monitor sodium) at 3-6 month intervals
    • Women: pregnancy tests before each dosing if pregnancy is possible
    • Psychiatric users (PTSD, anxiety, autism spectrum): regular check-ins with mental health provider whenever possible

    Medical Supervision: Oxytocin is among the more benign peptides at standard doses, but the behavioral and relational effects mean that professional support (mental health clinician, couples therapist, or reproductive endocrinologist depending on use case) can significantly improve outcomes compared to completely independent use. Users in psychiatric or relational contexts should strongly consider working with appropriate professionals who are aware of and accepting of oxytocin as part of the plan.

    Interactions

    3 pairings in our record: 1 to avoid and 2 noted as compatible or synergistic. Compatible and synergistic are notes from the record, not safety findings.

    • MDMA

      Avoid

      MDMA already triggers a large endogenous oxytocin release and carries hyponatremia/water-intoxication risk; adding exogenous oxytocin compounds fluid-retention and low-sodium risk with no established benefit

    • Selank

      Synergistic

      Both are anxiolytic - oxytocin targets social anxiety, Selank targets generalized anxiety; no known adverse interaction

    • PT-141

      Synergistic

      Oxytocin for emotional bonding plus PT-141 (an MC4R agonist) for arousal/desire - complementary, separate mechanisms

    This interaction data is compiled from published research and community reports. It may not be exhaustive. Always consult a healthcare professional before combining compounds.

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    04Dosing

    Free with email

    Oxytocin dosage and protocols

    Dosing
    As needed (on-demand), timed 20-45 minutes before a target social/intimate window; research protocols have used up to 2-3x daily (commonly 24 IU twice daily) intranasally

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    • Dose, route, how often and how long
    • A titration schedule
    • Beginner, intermediate and advanced protocols
    • Reconstitution and handling notes

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    05Prices

    Oxytocin prices

    4 listings from 3 vendors, opening in the Featured order.

    Pack prices
    $34.99 to $59.99
    Lowest per mg
    $7.00/mg
    Vendors
    3
    Listings
    4 (vial, nasal)

    Prices as the vendors list them, last recorded 8 October 2026.

    Size
    Form
    Sort
    Oxytocin listings, in Featured order
    Vendor Product Price Buy

    Oxytocin

    vial, 1 vial

    In stock

    $39.99

    No mg count

    Buy Oxytocin at Disguised Alpha

    Oxytocin Aerosol Kit

    nasal, aerosol kit

    In stock

    $59.99

    No mg count

    Buy Oxytocin Aerosol Kit at Disguised Alpha

    Oxytocin 2mg

    vial, 1 vial

    In stock

    $19.50/mg

    $39.00

    Buy Oxytocin 2mg at Ion Peptide

    Oxytocin 5mg

    vial, 5mg vial

    In stock

    $7.00/mg

    $34.99

    Lowest per mg
    Buy Oxytocin 5mg at Half Nattys
    Vendors selling Oxytocin(3: trust score, certificates, payment, shipping)

    Every supplier above is graded 0 to 100 on COA verification, payment transparency, shipping, reviews, and active listings. Methodology published, no pay-to-rank. How we score these vendors

    Price history(3 days with a recorded price)
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    06Chemistry

    Chemistry and structure

    Molecular formula
    C43H66N12O12S2
    Molecular mass
    1007.19 g/mol
    CAS number
    50-56-6
    IUPAC name
    Oxytocin
    Amino acid sequence
    Cys-Tyr-Ile-Gln-Asn-Cys-Pro-Leu-Gly-NH2 (one-letter: CYIQNCPLG). A 9-residue cyclic nonapeptide with an intramolecular disulfide bond between Cys1 and Cys6 (forming a six-residue ring plus a C-terminal Pro-Leu-Gly tail) and a C-terminal glycinamide (amidated). Molecular formula C43H66N12O12S2. Differs from vasopressin at just two positions: Ile3 (vs Phe) and Leu8 (vs Arg).
    Half-life
    ~1-6 minutes (plasma); central/behavioral effects outlast plasma clearance, typically ~30-120 minutes after intranasal dosing
    View on PubChem

    08Questions

    Frequently asked questions

    Is oxytocin really the 'love hormone'?

    The 'love hormone' framing is an oversimplification that does not match current science. Oxytocin is a neuropeptide with multiple roles including uterine contraction, milk ejection, and modulation of social behavior, pair bonding, and emotional processing. It does play a genuine role in attachment, bonding, and intimacy — both in humans and in animal models — but the effects are subtle, context-dependent, and highly individual. Oxytocin does not universally make people feel love or trust; it modulates existing social and emotional processing in complex ways. People with certain attachment styles or genetic variations may even show paradoxical effects (increased mistrust). The science is more interesting than the simple 'love drug' narrative.

    Does intranasal oxytocin actually reach the brain?

    This is one of the most debated questions in oxytocin research. The theoretical nose-to-brain pathway involves transport along olfactory and trigeminal nerve fibers, bypassing the blood-brain barrier. Empirical evidence is mixed: some CSF measurement studies find elevated oxytocin after intranasal dosing, while others find no measurable CSF effect. fMRI and behavioral studies consistently show some effects consistent with central action. The current pragmatic conclusion is that some oxytocin does reach the brain via intranasal administration, but the amount is variable across individuals and administration techniques, and the relationship between peripheral plasma and central CSF oxytocin is decoupled. This is a real limitation of the research and of off-label use.

    How does oxytocin differ from PT-141 for sexual effects?

    Different mechanisms and different aspects of sexual response. PT-141 (bremelanotide) acts at MC4R melanocortin receptors in the hypothalamus to produce central arousal and desire, with effects on genital blood flow and physical sexual response. Oxytocin acts at OXTR to produce emotional bonding, connection feelings, and the post-orgasmic attachment sensations. In practical terms: PT-141 is more relevant if the issue is low desire or difficulty with physical arousal; oxytocin is more relevant if the goal is enhancing emotional connection and intimacy during/after sexual activity. Some users combine both for complementary effects targeting both desire/arousal (PT-141) and bonding/connection (oxytocin).

    Can oxytocin help with autism?

    The clinical evidence is disappointing. The landmark SOARS-B trial (Sikich et al., 2021 NEJM) — a large well-conducted RCT of daily intranasal oxytocin in children with autism over 24 weeks — showed no significant benefit over placebo on social responsiveness or other primary outcomes. Earlier smaller positive studies did not replicate at the pivotal scale. Some subgroup analyses (low baseline endogenous oxytocin, specific OXTR genotypes) suggest possible responder subgroups, but these are not yet actionable clinically. Based on current evidence, routine oxytocin is not recommended for autism. Individual experimentation under professional guidance may be reasonable, but expectations should be calibrated to the modest and inconsistent evidence base.

    Can I get addicted to oxytocin?

    Oxytocin does not appear to be addictive in the classical sense — no withdrawal syndrome, no compulsive dosing pattern, no tolerance requiring escalating doses. The emotional and relational effects can be psychologically rewarding and some users develop a pattern of using it in specific contexts (before dates, before therapy) that becomes habitual. This contextual use habit is not physiological addiction. What can happen is that users become psychologically dependent on the enhanced connection feeling during intimacy or social situations, which may reduce their experience of intimacy without oxytocin. This is a pattern worth being aware of rather than a physiological risk.

    How often can I use oxytocin?

    For most users, oxytocin is used on-demand for specific situations rather than chronically. Daily use is supported by research protocols for up to several months without clear safety issues at standard intranasal doses (24-48 IU). More frequent than daily use (multiple doses per day over extended periods) is uncharacterized in terms of long-term safety and may blunt response through receptor adaptation. A reasonable pattern is on-demand use in specific contexts, with no strict frequency limit but also no particular reason to dose daily in most off-label use cases. If using daily, occasional breaks help reassess baseline and response.

    Will oxytocin improve my relationship?

    Probably not in any lasting structural way, though it may enhance specific moments of connection. Oxytocin's effects are acute (hours) rather than sustained over weeks and months. Using oxytocin during meaningful shared experiences may enhance the emotional quality of those experiences and may support bonding moments, but it does not fix underlying relationship issues. If a relationship has persistent communication problems, unaddressed conflict, or compatibility concerns, oxytocin will not fix those — it may temporarily mask them, which in some contexts makes problems worse by delaying necessary confrontation or change. Oxytocin is best thought of as an enhancement of good-moments-in-good-relationships, not as a relationship therapeutic.

    What's the difference between oxytocin and Pitocin?

    Pitocin is a specific FDA-approved brand name for synthetic oxytocin used in obstetric medicine, formulated as an IV preparation (usually 10 IU/mL) with specific stability and sterility standards for labor induction and postpartum use. Compounded nasal sprays and peptide-vendor oxytocin are the same peptide (oxytocin) but formulated differently — intranasal for central effects, lyophilized powder for compounding flexibility. Pharmacologically it is the same molecule. The main differences are formulation, sterility standards, regulatory approval scope, and typical dosing context. Pitocin is overwhelmingly used at much higher doses (IV infusion for labor) than behavioral oxytocin doses (24-48 IU intranasal).

    Can men use oxytocin?

    Yes, and much of the research on oxytocin's behavioral effects has been done in men specifically to avoid menstrual-cycle and pregnancy complications in trial design. Men experience the same central oxytocin effects — emotional processing, social cognition, bonding sensations — as women do. Men don't experience the peripheral effects on uterine contraction or milk ejection, obviously, but they can experience mild peripheral sensations (warmth, relaxation) at higher doses. Oxytocin is actively researched for men's social anxiety, autism, PTSD, relationship therapy, and sexual bonding effects. Men considering oxytocin should follow similar dosing and safety guidelines as women (absent the pregnancy considerations).

    What should I do if oxytocin makes me feel worse?

    Paradoxical negative effects — increased anxiety, worsened mistrust, emotional volatility, dysphoria — occur in a minority of users, typically those with insecure attachment styles, borderline personality features, or specific OXTR genotypes. If oxytocin consistently produces negative emotional effects across multiple trials at reasonable doses in appropriate contexts, the sensible response is to stop using it. Higher doses will not overcome non-response or paradoxical response; they will typically make it worse. Individual response to oxytocin is highly variable, and oxytocin is not for everyone. Stopping is safe (no withdrawal), and the decision not to use oxytocin is entirely reasonable. Mental health support may be valuable if oxytocin has surfaced unexpected emotional content that warrants processing.

    How many vendors sell Oxytocin, and what does it cost per mg?

    3 of the vendors BodyHackGuide tracks list Oxytocin (4 listings). Among BodyHackGuide's Oxytocin listings recorded as in stock with a milligram count, the lowest price per milligram is $7.00/mg at Half Nattys and the median is $13.25/mg. The Oxytocin prices on BodyHackGuide are vendors' listed prices as BodyHackGuide last recorded them, not transactions; the most recent recorded change to a Oxytocin listing is dated 8 October 2026.

    Which vendors have third-party COAs for Oxytocin on file at BodyHackGuide?

    BodyHackGuide holds 48 third-party certificate records for Oxytocin, from BHG Labs. An editor has read 1 of BodyHackGuide's 48 certificate records for Oxytocin and recorded the laboratory, the compound and the test date as printed on each. The laboratories named on BodyHackGuide's Oxytocin certificate records are Freedom Diagnostics Testing and ILS Laboratories, and the newest test date on them is 6 October 2026. Each vendor page on BodyHackGuide shows how many certificate records BodyHackGuide holds for that vendor and links to each record that has its own page.

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