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How to store your compounded semaglutide vial Before opening: ✓ Refrigerate at 36°F–46°F (2°C–8°C) from the moment you receive the vial ✓ Do not freeze — freezing disrupts peptide structure and can render the medication ineffective ✓ Keep in original box or dark container to protect from light ✓ Store on middle shelf — avoid the back wall (freezing risk) and door (temperature fluctuation) After opening: ✓ Continue refrigerating at 36°F–46°F — do not leave at room temperature after opening ✓ Write the date of first use on the label immediately with a permanent marker ✓ Discard after 28–30 days even if medication remains ✓ Use a new sterile needle for each draw — never reuse ✓ Cap the vial securely after each draw to minimize air exposure Travel: ✓ Use an insulated medication cooler with gel pack — wrap vial in cloth so it does not freeze against the ice pack ✓ Never leave in a parked car, checked luggage, or direct sunlight ✓ TSA permits injectable medications in carry-on — bring pharmacy label for identification Power outages: If your refrigerator loses power for more than 24 hours, do not use the vial without checking with your provider first

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