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For longer trips where refrigeration is genuinely unavailable, you are relying on the room-temperature stability window

Studies show that starting at 2.4 mg without titration dramatically increases the rate and severity of gastrointestinal side effects

This is one of the simplest ways to spot damaged or poorly stored products before use

Patients should be counselled to recognise symptoms of acute pancreatitis, such as persistent severe abdominal pain radiating to the back, and to seek immediate medical attention if these occur

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