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Shipping and Storage Are Part of the Product Injectable GLP-1 drugs require refrigeration as indicated in their package inserts

"Reduction in visceral adiposity is associated with an improved metabolic profile in HIV-infected patients receiving tesamorelin." Clinical infectious diseases 54.11 (2012): 1642-1651

Dowds, J.A

The blood work tells another, often more important one

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Freezing risk is highest in these situations: placing the vial against the back wall of a cold refrigerator, storing it in a mini-fridge with poor temperature control, leaving it in a car during winter, and shipping without adequate insulation during cold months