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N Engl J Med 377:12281239 Husain M, Birkenfeld AL, Donsmark M, Dungan K, Eliaschewitz FG, Franco DR, PIONEER 6 Investigators et al (2019) Oral Semaglutide and cardiovascular outcomes in patients with type 2 diabetes

Even slight temperature rises over time can lead to: Hydrolysis , where parts of the peptide chain break apart

I experience that as well when I start my cycle