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Using the medication past this date means you may be injecting a solution that is no longer sterile, which can lead to: Redness or swelling at the injection site Localized infections or abscesses More serious systemic reactions in rare cases Unpredictable Chemical Changes While it is rare for expired medications to become toxic, the chemical breakdown can lead to unpredictable side effects

1995 Aug;18(4):325-32

O'Leary, they have a placebo effect (a beneficial result from an inactive treatment)

Its important to note that when making rapid lifestyle changes around your health, including taking supplements, you should seek medical guidance