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Key characteristics: 24-month shelf life from manufacture when refrigerated 21 days at room temperature (below 86 degrees Fahrenheit) No preservatives in the prefilled pens Single-use pens designed for one injection Extensive stability testing and quality control Consistent potency from batch to batch The single-use pen design eliminates one major variable: you never need to worry about how long an opened vial lasts because each pen is used once and discarded

Choueiri says Zappy's low prices mean it doesn't have much money left over after paying pharmacies and providers, and "Zappy does not control the funds necessary to issue refunds." The Facebook group has grown to more than 600 people

Sterility Concerns As mentioned earlier, freezing can compromise the integrity of the vial

During clinical trials and after several years of use, researchers noted that the drug was also helping people lose weight

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The difference reflects the gap in stability testing data between pharmaceutical manufacturers and compounding pharmacies