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Yes injectable forms should be kept refrigerated to maintain potency

It's not about one being universally 'better' in a vacuum

Moreover, this trial was conducted at a private practice and published in an alternative medicine journal, again raising concerns about bias

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do not assume every reconstituted peptide has the same refrigeration or freezing requirements. Injection Guidance How do plain, saline, and buffered bacteriostatic water differ for peptide reconstitution