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Antioxidants in the formulation can slow this process, but they cannot eliminate it entirely, especially if the vial is repeatedly exposed to light during storage or use

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The National Eating Disorders Association has similarly noted that the few studies conducted to date have involved small sample sizes and short follow-up windows of three to six months, leaving long-term outcomes almost entirely unknown

Weight loss often becomes more noticeable during this phase, though the amount varies by individual and medication