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These temperatures are catastrophically high for peptide stability
Zepbound may contribute to an increased risk for thyroid c-cell tumors, acute pancreatitis, gallbladder disease, hypoglycemia, acute kidney injury, severe GI side effects, hypersensitivity reactions, and worsening of diabetic retinopathy if you have type 2 diabetes

Follow the recommended storage conditions, keeping the medication in the refrigerator or at room temperature

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