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Single-use protocols can use sterile water, but the peptide must be used within 72 hours and stored at 28C

However, medication that has been stored improperly (left at high temperatures, frozen, or exposed to light) may contain degradation products that could cause increased side effects like body aches , injection site reactions, or gastrointestinal symptoms beyond what you normally experience

Bacteriological changes 5.4

WHAT TO EXPECT During an IM injection session, a licensed provider will clean the injection site (typically in the arm or thigh) and inject the vitamin directly into the muscle

doi: 10.1210/jc.2011-0385 62