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The most common include mild tenderness or redness at the injection site, a temporary flushed or warm feeling from the B vitamins, and occasional mild nausea or diarrhea

To protect the integrity of your medication: Use a medical-grade cooler or insulated medication pouch

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The three modifications included: amino acid substitution at position 8 changing alanine to alpha-aminoisobutyric acid, and position 34, changing lysine to arginine, as well as acylation of the lysine in position 26 with a spacer and a C-18 fatty acid chain