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Current evidence, including magnetic resonance imaging studies, suggests that skeletal muscle alterations resulting from GLP-1 RA-induced weight loss, such as enhanced insulin sensitivity and reduced muscle fat infiltration, are adaptive, thereby improving muscle quality despite concurrent reductions in lean mass [112]

Once you reconstitute your peptide with bacteriostatic water, it does need to be stored in the fridge at or below 4 C (39 F), where it will stay stable for up to 30 days