Warnings and Precautions Lactic Acidosis Metformin hydrochloride Lactic acidosis is a rare, but serious, metabolic complication that can occur due to metformin accumulation during treatment with Janumet
One caveat is that I hope that tirzepatide does not have the supply problems we have seen with drugs such as semaglutide. Dr Stephen Lawrence, a GP and associate clinical professor at the University of Warwick said it had always been expected that NICE would approve tirzepatide once the company provided more data
N Engl J Med 349: 17381749
Shipping Temperature-Controlled Products When GLP-1 peptides are exposed to heat, they undergo degradation
Health Sciences Review, 9 , 100122
Thank you all for your kind words I finally got to speak with a locum GP today, the GP that ordered the blood tests, didn't order a B12 serum after saying he would, so I'll not know if the vials were deteriorating