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If you place the unopened vial in a standard refrigerator (around 2C to 8C or 36F to 46F), it can remain stable for many months, often up to a year or more

Turk J Neurol

Over time, it can progress to fusing the bones of the spine/vertebrae, limiting the spines mobility and leading to discomfort symptoms

[1] Serious adverse events should be reported to the FDA MedWatch program

Treatment adjustments : Based on this evaluation, your doctor might consider several options: ensuring you're at the optimal dose, addressing any identified medical conditions, adjusting or changing medications that interfere with weight loss, or referring you to specialists such as an endocrinologist, registered dietitian, or obesity medicine specialist

It doesn't make me physically ill at all, my brain just says, "Nope, you're done." I can't even explain it because I want to drink but I'm just completely done after one or two