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Label and refrigerate at 28 C (35.646.4 F) , protected from light

Because this is a compounded product, storage requirements may differ slightly from brand-name tirzepatide, and the addition of pyridoxine introduces its own stability considerations

This gel is used prior to less invasive procedures, such as botox

If these develop while taking supplements, they warrant medical assessment to rule out ongoing deficiency or other neurological conditions

That said, your provider should still establish a baseline with fasting glucose and HbA1c before starting, and monitor periodically throughout treatment

Because GH and IGF-1 are mitogenic they drive cell division active or recent malignancy is a hard contraindication, and any history of hormone-sensitive cancer warrants oncology input before initiating