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Gastroparesis is a chronic condition with significantly delayed gastric emptying

The preservative systems in compounded formulations are typically less robust than those in manufactured products, meaning room temperature exposure degrades the medication faster

however, severe or worsening bloating accompanied by persistent vomiting, abdominal pain, or inability to keep food down may indicate a more serious condition like gastroparesis and requires immediate medical evaluation

Joseph Volpicelli, a psychiatrist and addiction-medication researcher in Pennsylvania, the drug can also affect the brain's reward circuit, dulling the dopamine hit someone might otherwise get from a greasy french fry or dirty martini

These may include mild discomfort at the injection site or allergic reactions