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48.Monti G., Gomes Moreira D., Richner M., Mutsaers H

And while the link between a drug designed to help with blood sugar management and weight loss, and lowered odds of developing Alzheimers disease seems a little random, doctors say there may be something to this

A biosimilar is not identical to its reference biologic
Freezing medications causes them to undergo both physical and chemical changes that can make them not work as well

For multi-day backcountry trips where none of these solutions can reliably maintain refrigeration, the practical answer is timing your trip so the injection falls before departure or after return, and carrying medication thats already within its room-temperature use window if needed