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Floating lumps or particles that don't mix out suggest the insulin has degraded

Other particularly stubborn pockets of fat that can be harder to resolve with exercise alone include love handles, stomach fat, bingo wings (fat under the arms), knee fat pads (fat knees), and back fat (bra fat)

Andrew D Schaefer and Terry K Schuck reviewed the manuscript

That said, the researchers dont rule out other possible factors, such as hormonal or immune changes caused by GLP-1 use

To minimize the risk, patients should monitor their blood sugar levels regularly and discuss any adjustments to their medication regimen with their healthcare provider