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Concentration choices depend on vial size availability, solubility limits, patient dose range, and pharmacy preference
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a frozen pen or vial cannot be salvaged and must be discarded The 21-day room-temperature window for Zepbound applies only after first use, not from the moment you receive the pen, a distinction that causes most storage errors Direct answer (40-60 words) Yes, Zepbound must be refrigerated before first use
