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doi: 10.1016/j.bbrc.2019.01.103 151 LiYDuffyKBOttingerMARayBBaileyJAHollowayHWet al

This hyper-concentrated state can cause the peptide to aggregate, the pH to shift dramatically, and chemical reactions to accelerate in the unfrozen portion

The most common side effects are gastrointestinal: nausea, constipation, and occasionally vomiting

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