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The CDC's guidelines for multi-dose vial use (CDC MMWR 2012) recommend: Disinfecting the vial septum with alcohol before each puncture Using a new sterile needle and syringe for each entry Discarding vials if sterility is compromised (visible particulates, cloudiness, or if the vial is dropped or the stopper is damaged) Limiting vial use to 28 days after first puncture, even if solution remains Splitting a weekly dose into two injections means 8 punctures per month instead of 4

Weight loss results vary and are not guaranteed

Lancet Oncol (2014) 15:114756

Whats going to end up happening is those with GLP-1s, youre going to have more GI side effects

152 In healthy humans, pancreatic polypeptide has been shown to weakly increase basal insulin secretion by unknown mechanisms but it does not seem to have any effect on GSIS