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Shaking the vial : Denatures the peptide

It reduces motivation to exercise

Key nutritional priorities during the switch include maintaining protein intake at 1 gram per pound of lean body mass (this is critical for preserving muscle), keeping fiber intake above 25 grams daily for gut health and satiety, staying hydrated with at least 64 ounces of water daily (more if you experience GI symptoms), and avoiding alcohol during the first 4 weeks as it amplifies both nausea and blood sugar instability

This discussion should include any medications, supplements, and herbs you currently take, your complete health history, your family health history, and your weight loss goals