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High doses may increase TMAO (trimethylamine-N-oxide), a compound linked to cardiovascular risk
Unlike manufactured pharmaceuticals that may have expiration dates extending several years, compounded medications often have shorter beyond-use dates, typically ranging from thirty to ninety days depending on the specific formulation and storage conditions
Khera R, Murad MH, Chandar AK, Dulai PS, Wang Z, Prokop LJ, Loomba R, Camilleri M, Singh S (2016) Association of pharmacological treatments for obesity with weight loss and adverse events: a systematic review and Meta-analysis
Remember that skipping meals entirely can worsen side effects and slow your metabolism, so aim for at least small, nutrient-dense meals
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