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Avoid vials showing loose, melted, or yellowed powder layers, which reveal a compromised seal

Hypersensitivity reactions and allergies Although a mild rash and itching at the injection site are common reactions, more serious issues like hives and eczema are possible

Use standard PPE (lab coat, gloves, eye protection)

10mg tirzepatide vial (lyophilized powder) Bacteriostatic water (not sterile water, not saline, not normal water) Sterile syringe for reconstitution (a 3ml syringe with a needle works well) Alcohol swabs (70% isopropyl alcohol pads) U-100 insulin syringes for dosing (29-31 gauge) Sharps container for disposal Clean, well-lit workspace A note on the water: you must use bacteriostatic water , not sterile water for injection