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In the original diabetes trials (the SURPASS series) alopecia did not show up as a notable side effect at all, because weight loss there is far smaller

For long-term storage, -20 C freezer storage is the conservative research default used across many peptide-handling references for dry lyophilized materials

For example, if a vial was left at room temperature for just an hour or two when it should have been refrigerated, it might still be safe to use

Source: NEJM 2023 Safety profile: The most common adverse events were gastrointestinal (nausea 58%, diarrhea 39%, vomiting 32% in the 12 mg group)

Our program comes with no long-term commitments or cancellation fees

The phased rollout described below is the NHS England arrangement