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These reactions are typically caused by localized immune responses or technique-related factors

Normal saline (0.9% sodium chloride) is sometimes used for other peptides, but bacteriostatic water is the standard and recommended solvent for tirzepatide reconstitution

The most common side effects are nausea, vomiting, constipation, and digestive upset, especially at the beginning of therapy

Elife 4 , e11682 (2015)

For those who are seasoned NAD+ users, or that are administering higher doses (more than 50 units weekly), we recommend ordering a 5mL vial to support a full monthly supply

It is not intended for human or animal consumption, therapeutic use, clinical application, or diagnostic purposes