[22] [23] Baseline assessment should be considered before initiating tirzepatide in high-risk patients, including those over 65 years of age, individuals with pre-existing gastrointestinal disorders, patients on concurrent metformin or acid-suppressing medications, and those following restrictive diets
Because the molecule is delicate and subject to chemical and physical degradation (peptide bond hydrolysis, oxidation, aggregation, microbial contamination), how it is stored and how long it remains effective (its shelf life) become critical for anyone handling it
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