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For shipping, telehealth pharmacies pack vials with cold packs and insulation rated for 48-72 hours in transit

PMID: 25415472

Compounded semaglutide drugs may use the salt form of the hormone, including semaglutide sodium and semaglutide acetate

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If they make an exception for one patient, they may feel pressured to do so for others, leading to a system where ad-hoc changes become the norm

Reconstitute with bacteriostatic (BAC) water