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Lyophilised powder can be stored at 20C before reconstitution, but once bacteriostatic water is added, strict refrigeration becomes non-negotiable for the 30-day usable lifespan

[DOI] [PubMed] [Google Scholar] 23.Arslanian SA, Hannon T, Zeitler P, Chao LC, Boucher-Berry C, Barrientos-Prez M, Bismuth E, Dib S, Cho JI, Cox D AWARD-PEDS Investigators

Which like I mentioned to RedicRetics, they are considered mildly venomous and have not killed anybody so far that anyone knows of

However, you should be aware of the possible ways that taking semaglutide may cause digestive issues similar to UC symptoms