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A Note on Eating Disorders & Mental Health It is important to acknowledge that for people with a history of disordered eating, GLP-1 medications may trigger or worsen their illness - primarily due to the psychological side effects that often accompany weight loss and reduced appetite

If its stored the wrong way especially if it gets too hot it could stop working like it ought to well before the expiration date

2003 Jul 1;333(1):19-39

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The risk of significant microbial growth is too high, even with the preservative

Harnessing snake venom phospholipases A(2) to novel approaches for overcoming antibiotic resistance