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The most common storage errors patients make are small but devastating: Leaving the vial unrefrigerated for an hour Storing it in a fridge that fluctuates in temperature Allowing it to sit in a warm car or delivery box Not realizing their freezer had partially frozen the vial Traveling with it improperly Allowing light exposure Shaking the vial instead of gently inverting it Each of these damages peptide integrity, and you have no way of visually confirming it

However, medication changes should only be made under medical supervision

At Found, our pharmacies give us certificates of analysis letting us know they test each batch for accuracy of dose and sterility

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Low cortisol production by the adrenal gland should be compensated by an increase in adrenocorticotropic hormone (ACTH) production by the pituitary gland, but this was not the case, supporting hypothalamuspituitaryadrenal axis dysfunction 18