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Community protocols describe gentle swirling not shaking to avoid degradation, with storage at 28C and use within 28 days of reconstitution

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Patients with established cardiovascular disease should receive a pharmacological treatment intensification with an agent that has demonstrated benefit in cardiovascular safety studies: In patients with pre-existing atherosclerotic cardiovascular disease (ASCVD), a GLP-1 receptor agonist, or SGLT-2 inhibitor with characterized cardiovascular safety should be used

Because compounded medications are made specifically for you, prescription costs generally cannot be refunded once your order is filled