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Long-term use is limited to about 12 months because it places a burden on the pancreas
[DOI] [PubMed] [Google Scholar] 7.Myers MG, Cowley MA, Munzberg H

Although compounded semaglutide from licensed 503A pharmacies is sterile when dispensed, expired medication may have been stored in non-ideal conditions before you received it
Voet D, Voet JG
Impact of weight loss on testosterone levels: a review of BMI and testosterone
