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As many as 40-50% of Hypothyroid patients have a B12 deficiency (2)

Comparative effectiveness of GLP1 receptor agonists on glycaemic control, body weight, and lipid profile for type 2 diabetes: systematic review and network meta-analysis

It should be mixed gently, protected from strong light, kept away from freezing conditions, and not shaken aggressively
For short trips, reconstituted peptide can be kept at room temperature for up to 72 hours without significant degradation, though refrigeration is always preferred
