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If your refrigerator has cold spots near the freezer compartment, or if you accidentally placed a vial in the freezer and then thawed it, the damage from a single freeze-thaw event can reduce potency by 30-50% or more
10.1158/1055-9965.EPI-08-1094 82 NormanS
Documentation of reaction patterns, including photographs if possible, helps clinicians assess severity and guide management decisions
It can worsen if you take tirzepatide , which tends to have mainly gastrointestinal, or stomach-related, side effects of its own
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