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Many commercial pre-workouts contain ingredients that can cause problems for bariatric patients, including: High caffeine doses, which can irritate the surgical pouch Carbonated mixes, which can stretch the pouch over time Beta-alanine and niacin, which often cause flushing or GI discomfort Sugar alcohols, which can trigger dumping syndrome High sodium content, which can cause dehydration Post-bariatric patients usually do better with low-stim, sugar-free, non-carbonated formulas, sipped slowly rather than chugged

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Shelf life, storage, and handling for multi-dose vials Semaglutide Eileen Quinones FNP-C 6 mins The short answer: Yes, compounded semaglutide expires