Some startups, including Noom, began offering micro-dosed or reformulated compounds to navigate legal gray zones
1 Remove Dihexa vial from refrigeration and allow to reach room temperature (1520 minutes) 2 Clean vial top with alcohol swab and allow to air dry completely 3 Using a sterile syringe, draw the calculated volume of bacteriostatic water (BAC water) 4 Inject BAC water slowly down the side of the vial do not aim directly at the powder 5 Gently swirl in circular motions DO NOT shake vigorously as this degrades the peptide 6 Allow 23 minutes for full dissolution solution should be clear and colorless 7 Draw calculated dose into an insulin syringe for subcutaneous injection 8 Inject into abdomen, thigh, or upper arm
Slow, careful dose titration significantly reduces GI side effect burden patients who rush titration have considerably higher rates of intolerance
Ciyska M, Kamiska-Winciorek G, Lange D, Lewandowski B, Reich A, Sawiska M, et al
2020 Aug;98(2):323-42