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Brief exposure to room temperature is usually fine, but high heat (above 86F) can cause the peptide to break down quickly
PMID: 32019204 | doi:10.3390/molecules25030609 Rubtsova M et al
Mounjaro (tirzepatide) Product Information (SmPC)
High dose oral cobalamin would be a reasonable alternative as maintenance in patients unable to tolerate intramuscular injections provided there is good compliance with treatment
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