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Across major clinical trials, lean mass typically represents 25% to 30% of the total weight lost, meaning 70% to 75% of the loss comes directly from fat

doi: 10.1016/j.peptides.2018.09.002

But the pattern of complaints suggests systemic operational challenges rather than random bad luck

Some people try to save money by using sterile water or saline instead of bacteriostatic water, but this is not recommended because those alternatives lack the preservatives that prevent bacterial growth