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Description
BMJ article on ethical approval from 2009 bmj.com/content/338/bmj.b450 The letter just says in line with guidelines

Leaving it at room temperature for extended periods degrades the peptide progressively

The neurological complications include SCD, peripheral neuropathy, and psychiatric changes [2]

Prioritizing protein (minimum 0.7 grams per pound of target body weight daily), consuming adequate fiber, and maintaining micronutrient intake become essential
