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Cunnane, A ketogenic drink improves brain energy and some measures of cognition in mild cognitive impairment, Alzheimer's & Dementia, Volume 15, Issue 5, 2019, Pages 625-634, ISSN 1552-5260, Cunnane SC, Courchesne-Loyer A, Vandenberghe C, St-Pierre V, Fortier M, Hennebelle M, Croteau E, Bocti C, Fulop T, Castellano CA

Fried foods, heavy sauces, creamy dishes, and fatty cuts of meat should be minimized on injection day

exactly the same

So even if your Ozempic pen isn't technically "expired" based on the printed date, if you opened it more than 6-8 weeks ago, it's no longer safe to use

Variability : Not everyone sees the same amount of improvement

Compounded formulations vary in concentration