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This room temperature stability allows patients to travel with their medication or keep it readily accessible without constant refrigeration, though the total time at room temperature should not exceed the specified limits

Adipose tissue expansion in obesity, health, and disease

Hormonal Feedback in Premenopausal Women In women who are still cycling, improving the GH-IGF-1 axis can have downstream effects on the hypothalamic-pituitary-ovarian axis

84 ZhangY.LiuQ.YuJ.YuS.WangJ.QiangL.et al (2017)

If the outage lasts less than four hours and you did not repeatedly open the fridge, your tirzepatide should be fine