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Some people tolerate small amounts without issue, while others experience significant nausea or other side effects even with modest consumption

The FDA has received reports of compounded and grey market tirzepatide products arriving with visible contamination, improper coloring, and particulate matter in solution

That said, this kind of steep discount is most common with older, traditional drugs

The expiration date marks the point at which the manufacturer (or compounding pharmacy) can no longer guarantee the medication contains the labeled dose and remains free from harmful bacterial growth

Room temperature storage dramatically reduces shelf life

Pediatrics 126, e967e970