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Purity matters directly to the storage and stability considerations covered earlier in this guide a lower-purity vial is more likely to show early signs of degradation, such as clouding or precipitate, well before the general stability windows described above would apply to a properly manufactured product

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More serious risks include pancreatitis, gallbladder disease, acute kidney injury (particularly with dehydration), hypoglycemia (when combined with insulin or sulfonylureas), and thyroid C-cell tumors in animal studies

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