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This myoglobin can precipitate in the renal tubules, causing acute kidney injury (AKI) and, in extreme cases, irreversible renal failure

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Insufficient caloric deficit, too much caloric intake within the eating window, medication dose not yet optimized, metabolic adaptation, or an underlying condition affecting metabolism

If the label says "refrigerate" without specifying a room temperature allowance, that means the pharmacy has not tested or approved room temperature storage
