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If no refrigerator is available, keep the insulated bag closed as much as possible and replace gel packs with fresh ice wrapped in a barrier (like a Ziploc bag inside a towel) if the original packs warm up

After opening, we recommend discarding the vial after 28 days in line with best-practice handling guidelines

Whatever the reason, your compounded tirzepatide spent time outside its recommended temperature range, and now you need to make a decision

Bacteriostatic Water is a sterile aqueous solution containing 0.9% benzyl alcohol as a preservative

For example, your metabolism is higher in the afternoon, meaning your body will process alcohol more quickly