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Discard Zepbound immediately if any of these conditions apply: The pen has been unrefrigerated for more than 30 days Room temperature exceeded 86F (30C) at any point The pen was frozen, even briefly The solution appears cloudy, discolored, or contains particles The pen was exposed to direct sunlight for extended periods The expiration date has passed When in doubt, throw it out

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Yet, we demonstrate that impaired Cl - extrusion underlies the failure of L838,417 to induce analgesia at high doses due to a resulting collapse in Cl - gradient, dramatically limiting the benzodiazepine therapeutic window

PLoS One 9: e110948