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Yellow discoloration, clumping inconsistent with compression, or visible moisture inside a sealed vial indicate temperature excursions during transit that denatured the peptide

Sterile bacteriostatic water for injection used for medication reconstitution and dilution in clinical, research, and supervised home settings

All three sources are expert reviews, one of them openly extrapolating from post-bariatric-surgery practice, and no study has tested an eating pattern against a measured nausea endpoint