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If you tried that with plain sterile water, the risk of contamination and bacterial growth in the vial after the first use would be high, since theres nothing to prevent bacteria from growing once its opened

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The derivation from native hGH provides biological plausibility: the C-terminal region of growth hormone has been known since the 1990s to possess independent lipolytic activity separate from the growth-promoting effects mediated by intact GH and IGF-1 signaling

This means your medication came lyophilized and needs to be mixed

Teduglutide is not genotoxic it was negative in Ames, chromosomal-aberration and micronucleus assays