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Real-world peptide stability is more forgiving than those labels suggest, especially for lyophilized forms

Application Setting

Required materials: Lyophilized tirzepatide vial (5mg, 10mg, 15mg, or 30mg) Bacteriostatic water (0.9% benzyl alcohol preserved) 3 mL or 5 mL syringe with an 18 to 21 gauge drawing needle Insulin syringes for dosing (U-100, 29 to 31 gauge, 0.3 mL or 0.5 mL) Alcohol swabs (70% isopropyl) Fine-point marker or label tape Clean, flat work surface Optional but recommended: Sharps container for used needles Nitrile gloves 0.22 micron syringe filter (if concerned about particulate contamination) The drawing syringe is for transferring water into the peptide vial

The dosage is pretty much standard for each child, though depending on the clinical response, we may change the frequency of the injections to maximize improvement or minimize annoying effects (below)

Angle the needle against the vial wall and slowly inject water so it slides down onto the powder