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When side effects happen, they are usually mild and include nausea, constipation and diarrhea

Wu G, Lupton JR, Turner ND, Fang YZ, Yang S

Refrigeration slows these reactions down dramatically, extending the peptide's useful life from a few days to several weeks or even months, depending on the concentration and handling

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The problem is that those formulations arent the same as the FDA-approved drug and havent been evaluated by the FDA, either

Because these are intramuscular injections, some patients may experience mild and temporary side effects at the injection site, including: Soreness or tenderness Mild redness or swelling Minor bruising These symptoms are typically minimal and resolve quickly