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Description
[1] A common starting regimen in adults with normal renal and hepatic function is 1 mL intramuscularly once or twice weekly, titrated every four weeks according to biochemical markers such as fasting lipid panel, liver transaminases, and serum carnitine

Neuron 102 , 653667.e6 (2019)

Simultaneously, even well-stored peptides undergo gradual hydrolysis, a chemical reaction with water that cleaves peptide bonds and creates inactive fragments
doi: 10.1038/s41467-022-31262-y 120 YamazakiNIseiTKiyoharaYKogaHKojimaTTakenouchiTet al

And it shows in the results
