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While Mounjaro and Zepbound remain stable for extended periods when properly stored , compounded tirzepatide typically maintains full potency for only 28 to 60 days after reconstitution or compounding, depending on formulation and storage conditions

If hair loss develops while on tirzepatide, it is crucial to determine whether it is telogen effluvium (non-scarring, diffuse, reversible) or lupus-related alopecia (which may be scarring and requires different management)

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Reproductive-age women, particularly those who have experienced multiple pregnancies, face a higher comorbidity risk due to hormonal fluctuations and pelvic floor function changes