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Feb 23 2021;doi:10.3851/imp3383 Schnitzler P, Neuner A, Nolkemper S, et al

R., Asham, A

Notably, over the subsequent 6 days, we observed a sustained body-weight-lowering effect after infusion of GLP-1MK-801, but not semaglutide, suggesting that the targeted inhibition of NMDA receptors in GLP-1 receptor-positive neurons might promote sustained changes to the defended level of adiposity

You do not know exactly what temperature it reached, and the conservative approach is to start a new vial

Unlike brand-name pens, compounded semaglutide should remain refrigerated at all times unless your pharmacy explicitly states otherwise