doi:10.1016/S2213-8587(17)30085-2 Rodbard HW, Rosenstock J, Canani LH, et al
One you have used it, it can stay in the fridge (36F to 46F or 2C to 8C) or you can leave it out at room temperature (59F to 86F or 15C to 30C) for 56 days
A study published in the Journal of Nutritional Biochemistry found that niacinamide supplementation reprogrammed adipose cellular metabolism and increased mitochondrial biogenesis in obese subjects
Alternative diabetes treatments include other GLP-1 agonists (if no cross-reactivity), SGLT2 inhibitors, DPP-4 inhibitors, or insulin therapy per NICE NG28 guidance
Duration of treatment is based on each individual's goal, starting weight, underlying health, age, gender, response to treatment, and other factors