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Standard Refrigeration Requirements for GLP-1 Injectables Most GLP-1 medications, including compounded semaglutide and tirzepatide injections from PlexusDx, must be stored at 28C (3646F) before first use

The absence of severe thrombocytopenia and the presence of macrocytosis and highly elevated LDH suggested PTMA due to vitamin B12 deficiency

It disrupts the growth cycle, accelerates miniaturization, and can lead to permanent follicle death

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