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23 Failure to stop using salt forms or to provide a valid legal justification can lead to product seizures, injunctions, and significant fines

Foods to minimize or avoid include: Carbonated beverages, which introduce additional gas High-fiber foods initially (beans, cruciferous vegetables, whole grains), though fiber remains important long-term Artificial sweeteners, particularly sugar alcohols (sorbitol, xylitol), which can ferment in the gut Dairy products if lactose intolerance is present or suspected Fried or greasy foods that slow digestion Hydration remains essential, but patients should sip water throughout the day rather than consuming large volumes with meals, which can increase stomach distension

Peptide stability depends on sequence, concentration, pH, buffer, excipients, surfaces, agitation, temperature, and lyophilization conditions [7]

This monopoly allows the manufacturer to set prices without competition from lower-cost alternatives