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A COA may confirm that a vial contains a peptide of roughly the expected mass, but it cannot confirm the synthesis was clean, that endotoxin is below a harmful level, or that an unnamed contaminant is absent

Understanding this expectation helps frame treatment as long-term management rather than temporary intervention

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It omits GIP receptor activity but retains the glucagon component that differentiates it from pure GLP-1 agonists

The biggest mistake is not preparing for weeks 6 through 8 when side effects peak and 73% of all discontinuations happen