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The answer is that the Gila monster is a desert lizard that goes for weeks or even months between meals, and conserves energy during those intervals by shrinking its digestive tract, including its pancreas

A researcher using a standard home refrigerator and reconstituting 5mg vials every 3 weeks will achieve better outcomes than one reconstituting 20mg vials every 8 weeks, even though the latter 'should' be more cost-efficient

doi:1590/1806-9282.62.05.468 Kohanim S, Palioura S, Saeed HN, Akpek EK, Amescua G, Basu S, et al