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Once you open or begin using a tirzepatide vial or pen, you should use the entire supply within 28 days if stored in the refrigerator
For those who fall outside these categories and have normal serum B12 levels, an injection is a discretionary wellness choice not a medical treatment
Primary care evaluation should include cardiovascular risk assessment, kidney function screening, and baseline glucose control evaluation, especially if the patient has prediabetes or diabetes
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