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doi:10.1016/S0021-9258(19)83693-1

If the medication was exposed to excessive heat during transport and you did not catch it, you might be injecting degraded tirzepatide that has lost potency

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Methods 25:402408 Pinheiro AC, Bourbon AI, Cerqueira MA et al (2015) Chitosan/fucoidan multilayer nanocapsules as a vehicle for controlled release of bioactive compounds