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The gallstones that form are cholesterol stones, the same type that form during any rapid weight loss scenario
the clinical evidence in humans especially for compounded injectable formulations specifically is more limited
10.1038/s41573-019-0053-0 20 Eli Lilly and Company (2025)
Injection site reactions , including redness, swelling, and itching, may be more common with degraded material
Check your labs: Ask your clinician about iron, ferritin, B12, folate, vitamin D and thyroid tests if shedding is significant
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