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Sterile Water Considerations Although sterile water is free of microorganisms before opening, contamination can occur quickly once exposed to air or non-sterile equipment

A scoping review in Cureus (2025) added important context: dual-acting agonists like tirzepatide which targets both GLP-1 and GIP receptors produced greater reductions in weight and insulin sensitivity than GLP-1-only agents

"The reality is people are getting them, and they're getting them from very disreputable sources where they don't know what's in them," says Dr