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People with untreated hypothyroidism should delay sermorelin until their thyroid condition is managed, because low thyroid hormone levels can make sermorelin ineffective (thyroid hormone is important for growth hormone action)
It is guesswork
Because of the 0.9% benzyl alcohol, bacterial growth is inhibited , so the opened vial remains sterile for multiple transfers (usually up to ~28 days if kept sealed and refrigerated)
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