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Some sources report stability for up to 56 days, but 28 days is a safe guideline

Liver enzymes displayed a significant decrease in all groups compared to the control group (Eshtiwi 2024)

Competitive athletes should also be cautious because peptide use may create eligibility or anti-doping issues

Food and Nutrients in Disease Management, Edited by Ingrid Kohlstadt

The theory is that long-term use of semaglutide, particularly without a controlled diet, could lead to vitamin B12 deficiency due to the effects on gastric emptying
