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Once you puncture the lid, any bacteria that enters the vial can multiply

The benzyl alcohol inhibits bacterial growth in multi-dose vials

compounding pharmacies are approaching the question of dosing, given the lack of human studies and the fact that starting on GLP-1s entails careful titration

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This can be because women typically have less body water than men who are of comparable body weight, making the alcohol more diluted in mens blood compared to womens
