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Glutamine can undergo deamidation, while aspartic acid may isomerize to isoaspartic acid, affecting stability

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These include: Nausea (the most common complaint, particularly in the first few weeks) Vomiting Diarrhoea or constipation Decreased appetite (which, while therapeutically desirable, can occasionally be excessive) Abdominal discomfort or bloating Injection-site reactions (such as redness, itching, or mild swelling at the injection site) Headache, dizziness, and fatigue , particularly during early treatment These effects are generally dose-dependent and tend to diminish as the body adjusts to the medication

These personalized adjustments, made in consultation with healthcare providers, can significantly improve treatment tolerability and long-term adherence

Verify the water volume from your reconstitution record