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The only reliable contamination prevention is strict adherence to refrigerated storage (28C), aseptic needle technique, and discarding vials after 28 days regardless of appearance
19(1): p
For patients with a higher BMI or more stubborn metabolic resistance, tirzepatide is often the more powerful lever to pull, adds Holmes
That includes physicians (MD/DO), nurse practitioners, and physician assistants
Sources Jastreboff, A.M., et al
Any potential benefits would be indirect, resulting from improved diabetes control and weight loss over time rather than immediate effects on erectile tissue
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