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Highly active tissues, such as the heart muscle and skeletal muscles, rely heavily on long-chain fatty acids as their primary and most efficient source of sustained energy

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Community sources note that this creates a procurement barrier for research-context use, which is one reason the peptide-vendor channel and compounding pharmacy alternatives exist

potential long-term risks include pancreatitis, gallbladder disease, lean muscle loss, and early worsening of diabetic retinopathy, though no confirmed causal links exist beyond 48 weeks of data

Because it's newer, there's less long-term data, but the clinical trial results have been impressive