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Room Temperature and Travel: When You Can't Refrigerate Compounded tirzepatide can be kept at room temperature (up to 77F or 25C) for limited periodstypically no longer than 28 days total from the compounding datebut refrigeration is always preferred for maximum stability

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This response to the intramuscular vitamin injection supports the notion that there is metabolic evidence of vitamin deficiency and it is common in the elderly, even in the presence of normal vitamin levels