Among the odd findings observed by the USA hCG Reference Service are three cases with Munchausen’s Syndrome, three women who tried to make themselves look sick by administrating to themselves regular doses of hCG. This is a psychiatric issue. All three in the USA hCG Reference Service experience were physicians or nurses themselves with access to injectable hCG.
The way that the USA hCG Reference Service identified Munchausen Syndrome was by showing first that hCG levels went up and down on a regular basis in concordance with injections. Secondly that the cases had no MRI or CT scan evidence of disease, and thirdly, that the combination of hCG variants and degradation products were overly pure (limited nicked hCG, free ß-subunit and molecules otherwise degraded) and not like that of any disease.