If the peptides will be used immediately, or in the next several days, weeks or months, short-term refrigeration under 39F (-4C) is generally acceptable
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The biological rationale for combining these two peptides is mechanistic complementarity
This is a common choice for simplifying dose calculations
The lyophilized cake tolerates short ambient shipping windows because all three peptides are stable in the dry state, but the vial should be transferred to refrigeration immediately on arrival
As with any medication, they should only be prescribed by a healthcare provider who has evaluated the patients medical history, current health status, and individual needs and goals