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Lyophilized (freeze-dried) retatrutide is relatively stable at room temperature before reconstitution, but once mixed with bacteriostatic water , it must be refrigerated and has limited stability

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3,4 In parallel, renal failure also predisposes to poorer glycaemic control (both hyper- and hypoglycaemia) because of an altered renal physiology, which disrupts normal glucose and insulin metabolism

Its effects can extend into all aspects of life

For patients who are naturally B12 deficient we recommend monthly