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Extended heat exposure can cause: Color darkening or brownish shifts Cloudiness from peptide aggregation Visible particle formation Loss of potency even without visible changes If your medication was shipped without adequate cold chain protection, or if it sat in a hot mailbox or delivery vehicle for hours, inspect it carefully before use

Symptoms of gallbladder disease include: Chills Fever Gallbladder inflammation (acute cholecystitis) Nausea Pain in the abdomen, back, breastbone or under the shoulder blades Vomiting Gallbladder disease can also lead to gallstones and blockages developing in the intestines or bile ducts, which transport waste

If cost, supply shortages or side effects are driving the decision to stop, talking to a prescribing physician about alternatives is an important first step

For some people, the side effects are mild and improve over time as your body adjusts to the medication

This is real and concerning and why since the start of the shortage experts in the field of obesity have been concerned