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Cagrilintide + Tirzepatide Storage & Handling Storage Reference (Both Compounds) State Lyophilized (long-term) Tirzepatide -4 F (-20 C), 12+ months Cagrilintide -4 F (-20 C), 12+ months State Lyophilized (short-term) Tirzepatide 35.6-46.4 F (2-8 C), several months Cagrilintide 35.6-46.4 F (2-8 C), several months State Reconstituted (liquid) Tirzepatide 35.6-46.4 F (2-8 C), 28-30 days Cagrilintide 35.6-46.4 F (2-8 C), 28-30 days State Color when reconstituted Tirzepatide Clear, colorless Cagrilintide Clear, colorless State Shake

By improving mitochondrial function and indirectly activating Nrf2, metformin augments antioxidant capacity and contributes to sustained cardiometabolic protection (Mthembu et al., 2025)

the lowest effective maintenance dose is generally preferred

B12 may enhance overall treatment adherence B12 can enhance treatment adherence while on tirzepatide therapy