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Poor storage does not just reduce effectiveness

The most common problems are gastrointestinal and often manageable, but there are important edge cases around gallbladder disease, thyroid cancer risk in susceptible groups, and eye complications in specific contexts

Since taste is closely linked to appetite regulation, a change in taste sensation can sometimes actually reinforce the appetite-suppressing effects of the drug

You inject what you believe is your full dose, but your body receives something less, something different, something that may trigger side effects without delivering the therapeutic benefits you are counting on