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Patients who have a history of stimulant use but are no longer on ADHD medication frequently require higher doses to achieve meaningful appetite suppression, and even then outcomes can be more limited

Bacteriostatic water can help suppress bacterial growth in multi-use contexts, but it does not stop chemical degradation forever and it does not rescue a vial that was handled poorly

Hormonal fluctuations: Because DSIP may influence LH and GH release, theres potential for downstream hormonal shifts, though data is limited

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