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This directly complicates patient screening and enrollment, leads to substantially lower overall expected efficacy compared with patients harboring upstream genetic defects (such as POMC deficiency) [56] , and results in a low statistical success rate in large-scale trials

Lyophilised vials are stable at 28C until reconstitution

Adding too little concentrates it

Supplement Wisely : If you cannot meet your nutritional needs through food, consider: Protein powder in smoothies Multivitamin (if you can swallow pills) Liquid nutritional supplements Vitamin C supplements Foods to Approach Carefully Some foods are more likely to worsen symptoms or interact poorly with GLP-1 medications during illness: High-fat foods : Already slow to digest, can worsen nausea Spicy foods : May irritate an already sensitive stomach Dairy products : Some people feel dairy thickens secretions or worsens congestion