dosing when switching from semaglutide to tirzepatide switch dose from Sema : r/tirzepatidecompound How To Safely Transition From

Multi-dose vials typically remain stable for 28 to 30 days after first puncture when refrigerated at 36F to 46F (2C to 8C)

Multiple endocrine neoplasia type 2 syndrome (MEN-2)

E11.42 (polyneuropathy) E11.3212 (moderate NPDR, left eye, no macular edema) E11.12 (diabetic CKD stage 3) N18.3 (CKD stage 3, required companion) Z79.4 (long-term insulin, only Z79.4 needed when on both insulin and oral agents per official guidelines) Note: Z79.84 is NOT added here because per ICD-10-CM Official Guidelines, when a patient uses both insulin and oral hypoglycemics, only Z79.4 is assigned

Compounded GLP-1 medications require refrigeration at 36F-46F (2C-8C)