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However, its etiology and pathogenesis are still under investigation

Shaking creates foam and can shear the delicate peptide bonds, a process called denaturation

Bacteriostatic water itself is the standard diluent used in peptide reconstitution because its 0.9% benzyl alcohol content inhibits bacterial growth across multiple vial entries, which is why its specified over plain sterile water in nearly all peptide handling literature a distinction covered in depth in our guide on bacteriostatic water vs sterile water for peptides

Leave the capsules in the original, sealed container to prevent moisture and airborne particulates from getting in