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Other reactions warranting urgent GP contact include: Unexplained muscle weakness or cramping Persistent vomiting or severe abdominal pain Signs of hypokalaemia (low potassium) during initial treatmentmuscle weakness, irregular heartbeat, or severe fatigue In patients with severe, longstanding B12 deficiency, rapid correction can occasionally precipitate hypokalaemia as new red blood cells are produced, consuming available potassium
For tirzepatide, 27-31 gauge needles work well
Symptoms include difficulty breathing, facial or throat swelling, rapid heartbeat, hives, and a sudden drop in blood pressure
PMID: 21030672 | doi:10.1152/japplphysiol.00945.2010 Zivanovic-Posilovic G et al
Once opened, store the vial at room temperature and access only with sterile needles using aseptic technique
To prevent degradation, we follow these industry-standard guidelines: Temperature Control: Once reconstituted with bacteriostatic water for peptides , the vial should be stored in a refrigerator at 2-8C (36-46F)
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