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In some people, the gut may respond with more sensitivity or changes in intestinal fluid balance, which can lead to looser stools or diarrhea, she explains

[2] These symptoms typically diminish over time as physiological adaptation occurs, but they can significantly impact nutritional intake during the initial treatment phases

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Look for these warning signs: Cloudiness where the solution was previously clear indicates protein aggregation or contamination Floating particles suggest precipitation, contamination, or degradation Color change from clear to yellow or amber indicates chemical breakdown Unusual smell when drawing from the vial suggests bacterial contamination Foam that does not dissipate after gentle swirling may indicate denatured protein If you observe any of these signs, do not use the solution