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This is really what I consider dangerous. Interest in the trend is being amplified by celebrities

If refrigeration is unavailable during travel, tirzepatide tolerates room temperature for up to 21 days according to manufacturer data for branded products

Ang Chem Int Ed Engl 25:10581071

Reported benefits (per available research): FDA-approved, clinical-trial-supported reduction of excess visceral abdominal fat in HIV-associated lipodystrophy, the only indication with robust human RCT evidence behind it Studied in a randomized, placebo-controlled trial for possible support of executive function and cognitive performance in healthy older adults and adults with mild cognitive impairment (Baker et al., 2012) Proposed, but far less rigorously studied in healthy or bodybuilding populations, to support lean body mass and body composition changes through GH/IGF-1 axis stimulation

doi: 10.1016/j.cmet.2019.08.018

Lyophilized peptides shipped with cold packs or dry ice maintain better stability than those shipped at ambient temperature