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If you freeze a multi-dose vial and thaw it multiple times, cumulative mechanical stress negates the preservation benefit

[8] Writing Committee Members et al

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Most clients receive injections weekly or bi-weekly, depending on their wellness goals

Patients should work with a licensed clinician and licensed compounding pharmacy to understand current access options

Optimal Balance Pharmacy, a 503A pharmacy in Texas, compounds Tirzepatide/B12 and ships it pre-reconstituted by FedEx overnight in a reusable cooled case