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Some tirzepatide lyophilized powder takes 2 to 5 minutes to fully dissolve, especially if the vial was stored at very cold temperatures
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It reflects what you are not paying for at the cheap end: no provider involvement, no individualized dosing, no injection training, no sterile reconstitution guidance, and no recourse if you have a reaction
Later, after B12 stores are back to normal, they may prescribe high doses of oral B12 replacement
Unopened freeze-dried vials can be kept at room temperature or in the refrigerator for short periods with no issue
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