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After 28 days, the peptide may still contain active tirzepatide, but the concentration could have dropped below the labeled amount, and bacterial contamination risk increases

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Reconstituting a non-sterile lyophilized powder with bacteriostatic saline does not sterilize it

Using the Wrong Diluent: Using tap water or any non-sterile liquid is out of the question

Corticoid effect is increased in patients with hypothyroidism or cirrhosis