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The best choice depends on current weight and BMI, weight-related medical conditions, blood sugar status, cardiovascular risk, liver health, kidney function, medication history, side-effect risk, muscle mass and nutrition status, cost and access, patient preference, and long-term maintenance planning

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You feel fatigued even after adequate sleep

Lyophilized (freeze-dried) powder : Can remain stable for several months before mixing, as long as it's kept in a cool, dry place

This is the date assigned by your compounding pharmacy that indicates the last day the medication should be used