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The post says vigorous shaking denatures the peptide and compromises potency, which is why it describes gentle rotation instead

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Other notable adverse effects include: Injection site reactions (redness, itching, or discomfort) Fatigue Hypoglycemia (particularly when combined with insulin or sulfonylureas) Increased heart rate (mild elevation) Alopecia/hair loss (more common in weight management indication) Serious but less common risks include pancreatitis and gallbladder disease, which require prompt medical attention if symptoms develop

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