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Unopened vials typically remain stable for their labeled shelf life when refrigerated

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Persistent severe fatigue warrants medical evaluation to rule out complications or need for dose adjustment

This is a reasonable personal preference but not a medical necessity

Are there side effects with GLP-1 medications

Systemic Side Effects: Sermorelin is generally well tolerated, and because it triggers endogenous hormone release, systemic side effects tend to be mild for most patients