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Doses above 2ml per injection are occasionally used in bariatric or metabolic clinics for patients with severe hepatic steatosis, but they carry increased risk of homocysteine elevation without proportional benefit

Concerns about thyroid cancer risk and the potential for sarcopenia or bone fragility in older patients further underscore the need for long-term surveillance (Nunn et al., 2024)

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Sterile eppendorfs were used for anti-inflammatory, antioxidant effects, and gene expression studies, which were sent for analysis in laboratories under cold chain regulations