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Once reconstituted, tirzepatide must be stored in the refrigerator at a temperature between 36F and 46F (2C to 8C)
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Vitamin B12 deficiency can have serious implications for an individuals overall well-being, affecting various aspects of neurological, psychological, and physical health

Why the window is finite: Three things degrade over time even with refrigeration

There are risks to the pregnant woman and fetus associated with untreated cyanide poisoning (see Clinical Considerations )
