If you have frequent migraines or a complex medication list, involve your clinician early
References: Pi-Sunyer X, Astrup A, Fujioka K, Greenway F, Halpern A, Krempf M, Lau DC, le Roux CW, Violante Ortiz R, Jensen CB, Wilding JP
The important thing to remember is that there are things you can do to address this
Kunutsor S et al
The brand reference (Mounjaro and Zepbound) has formal ICH stability data supporting 24+ month refrigerated shelf life, but compounded tirzepatide BUDs are shorter because individual 503A pharmacies havent run multi-year stability programs
Temperature Control and Protection from Light Temperature fluctuations damage semaglutide's integrity far more than steady, consistent cold does