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This window reflects both methionine stability (which degrades 12% per day even under refrigeration) and the sterility limits of bacteriostatic water, which maintains antimicrobial efficacy for 28 days after the vial is first punctured

It is also used to support weight loss in eligible adults with a BMI of 30 or higher, or 27+ with related health conditions

Milman et al., 2005)

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Clinicians should address underlying motivations and provide evidence-based counseling