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Practical sterility: Using bacteriostatic water for reconstitution , sterile injection technique, proper storage generally prevents contamination issues even if original peptide not certified sterile

And while inositol is not a cure, it may help support fertility (and its absolutely possible to get pregnant if you live with PCOS)

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Nausea GLP-1 medications may cause nausea through several mechanisms, including decreased emptying of the stomach and a direct central nervous system effect [8]

The decision to switch should be guided by a healthcare professional , taking into account your health goals, previous response to treatment , and ability to tolerate medication changes