To summarise the journey: Consult your GP: Discuss your history and any concerns about GLP-1s and your thyroid
There is no method to confirm potency at home, and attempting to 'rescue' the vial by refrigerating it afterward does not reverse the damage
The exact mechanism of weight loss for both combinations is still unclear, but there are several hypotheses
It also has an orphan designation for Wolfram disease, a rare genetic disorder characterized by juvenile-onset diabetes mellitus, diabetes insipidus, optic nerve atrophy, hearing loss, and neurodegeneration [42,43,44]
Every one of those failure modes, impurity, wrong dose, contamination, gets harder to avoid, not easier, as you move to a larger and more complex molecule with no legitimate version at all