does trulicity go bad if not refrigerated

Immediately dispose of it in a sharps containerand get a new pen from the fridge. Rec- 1. stimulate your pancreas to release insulin but ONLY when your blood glucose is high. Do not freeze this medicine, and throw away the medicine if it has become frozen. 4AllFamily Customer Care Team. Trulicity should be stored in a refrigerator at 36F to 46F (2C to 8C) until you need to use it. Final Thoughts. Insulin detemir injection (Levemir): Pen and vial, throw away after 42 days. Active drugs used in medications are temperature-sensitive. Many factors can unexpectedly affect your blood glucose levels during a flight. Frio Cooling Packs can work up to 5 times longer than ice packs and seem to keep insulin products at a more consistent temperature. To prevent your Trulicity pen from freezing, place it far away from the freezer compartment of your fridge. It simply clicks onto an insulin pen instead of the cap and with the push of a button, the device then works to keep insulin at the proper temperature for as long as you need it to. You should always speak to your doctor regarding the risks and benefits of any treatment. In contrast to this, opened vials of insulin detemir (Levemir) are stable for up to 42 days at the above-recommended temperature conditions. This allowable 14-day room temperature exposure may be one single 14-day exposure, or it can be broken up into multiple exposures. The information on this website should not be relied upon and is not a substitute for professional medical advice. You can also download and fill out the free TSA notification card for individuals with disabilities and medical conditions yourself. This happens very rarely, but if you feel that your insulin isnt working as well as it should, try switching to a new vial or pen. If I had a Trulicyty pen (as mentioned, it is not an EpiPen) that is broken, my pharmacist or provider who gave me the pen would be the first call I would make. Medical Review and Fact-Checking Standards, View all posts by Susan Sloane, RPh, CDCES, CPT, Everything You Need to Know About Walmart Insulin, How to Save Money on Insulin with Copay Cards, Insulin Injection Sites: The Best Places to Inject, The Best Sweeteners for People with Diabetes, Low-Carb Bread Review: 10 Popular Brands Tested, How to Lower Your A1c: The Complete Guide, How to Bake Chicken Breast in the Oven (So Its Always Juicy), Everything You Need to Know About Metformin, 7 -Day Diabetes Meal Plan (with Printable Grocery List). There are no medical contraindications. As you know, Trulicity can only be left out of the fridge for a maximum of 14 days. For a better experience, please enable JavaScript in your browser before proceeding. I believe my very first Trulicity injection malfunctioned due to a mechanical problem with the pen. How did I get so unhealthy? Do your best to stick to the same day every week. Our coolers make it easy to pursue your passions and make unforgettable memories, freeing you from the stress of storing your medication properly. If you experience hives, difficulty breathing, or swelling, you may be allergic to Trulicity. His assisted living facility controls the rest of it. Our most performant cooling case can keep medications at fridge temperature for up to 72 hours without electricity. Its available here: https://4allfamily.com/collections/4allfamily-insulin-cooler/products/cooling-cases-for-insulin-medications?variant=43188680130809, Let me know if you need more info! 4AllFamilys medicine coolers are officially approved by TSA for airplane travels. The best way to warm it up is to leave it sitting on a bench. Find out more information on that here. Think of insulin as a form of meal. If the prefilled syringe or pen is exposed to temperatures higher than 86F (30C), it can go bad and no longer be safe. However, always verify the information before flying and be sure what documents you need to enter a specific country. In addition, refrigerated yogurt will taste much better since it won't spoil. Talk to your healthcare provider about the potential risks and benefits of Trulicity before starting treatment. Trulicity is never prescribed in the treatment of type 1 diabetes where the body isnt capable of producing insulin at all. Does Insulin Go Bad If Not Refrigerated? Guide on Insulin Storage, If the temperature gets colder or warmer than that, itll either. How to tell if Ozempic has gone bad? Like Ozempic, Victoza is produced by Novo NordiskLaboratories. I've taken Trulicity for maybe three months and this is the first non user error failure that I've seen. Trulicity helps your pancreas release more insulin by attaching to the cells and lowers your blood sugar. All right reserved. An opened disposable insulin pen will last for only four weeks maximum regardless of the temperature it is stored in. Fortunately, this is possible even without electricity. If you have excess Trulicity injectable pens at home, they need to be stored in the fridge. Do not freeze Trulicity. Apart from that, if youre here to look for information on why insulin needs to be refrigerated and other What Ifs, then read on. The hazardous atmosphere and temperature conditions could damage or freeze your medicine during the flight. Do not use past the expiration date on the medicine label. So, do you refrigerate insulin? Proposed fee schedule details Diabetes Prevention Program payments. Does White Wine Go Bad If Not Refrigerated? It's a Pen device containing Trulicity. But, its important to ensure insulin is kept at the appropriate temperatures to ensure its effective use. As a general rule, insulin should be refrigerated. Trymix will gradually lose strength unrefrigerated, perhaps 5% a day (from memory if one man's experiment) or halving in a month. How to know if Trulicity has gone bad? If youre wearing a Continuous Glucose Monitoring (CGM) system such as Dexcom G6, Medtronic Guardian, or Abbott FreeStyle Libre, you should know that 360 body scanners can deteriorate the electronics in your device. Create Online Account Here Diabetes Strong does not provide medical advice, diagnosis, or treatment. The drug manufacturer and laboratory tests guarantee it`s effectiveness up to 14 days at room temperature. Please check its performances on the product page (theyre a bit lower than the first one but should be enough for your trip): https://4allfamily.com/collections/4allfamily-insulin-cooler/products/3n1-innovative-insulin-cooler, The Medium-size Nomad cooling case is small and can only fit 1 Trulicity pen so I dont think thats an option for you. I also didn't see ANYTHING about replacement for failed Trulicity epipens. When power is restored, check all food according to the following guidelines. Before opening, all maple syrup can be stored in the pantry about a year.After opening, genuine maple syrup should be stored in the refrigerator and will last about a year. You can usually see with the eyes if Trulicity has gonebad. The short answer: yes, orange juice does go wrong when you don't refrigerate it. Trulicity attaches to certain receptors on the cells of your pancreas, which tells the pancreas to release insulin when the bodys blood sugar level is high. Each single-use prefilled pen or prefilled syringe may be stored unrefrigerated for up to 14 days at a temperature not to exceed 30C. It belongs to the same class of drugs as Ozempic, Byetta, and Victoza. It may be kept unrefrigerated, but it will last longer if it is kept in the refrigerator. Should I buy your medium size container. Be sure the lid is tight, and the needles cant poke through. "It is important, for safety reasons and for a longer storage life, to remove cocktail cherries with a clean fork and not . If needed, each single-dose pen can be kept at room temperature, not to exceed 86xb0F (30) for a total of 14 days. So, its important to remember that merely refrigerating will not make insulin more effective or last longer. If you have any questions about how to store Trulicity, you should contact your healthcare provider or pharmacist. If it has clumps or what look like little "strings" in it, it's probably not safe to use. If your Trulicity pen has been left unrefrigerated for more than 14 days, its not safe for use anymore. It is recommended to avoid foods and drinks that are high-fat, sugary, and calorie-dense. Allow Trulicity at least 30 minutes to warm up to room temperature after taking it out of the refrigerator to make receiving the injection much more pleasant. It is important for you to drink fluids to help reduce your chance of dehydration. Suggested injection site areas are your upper arm, abdomen, or thigh. I've been looking on the net for info on how to replace a "faulty" Trulicity pen with no luck. Does insulin need to be refrigerated? Not sure now if I should use the medication or not since it's been at room temp for a few days. It gets a bit trickier when youre going on longer trips and need to bring stocks of Trulicity for several weeks. A Trulicity pen may be left unrefrigerated for a maximum of 14 days, as long as it is kept at room temperature (less than 86F (30C) and not exposed to light or a heat source. You can but its really tough to say whether its going to be effective or not. Your doctor should start you on a diet and exercise program when you start taking Trulicity. However, if youre traveling to destinations where the outside temperature gets above 86F / 30C, you need to take some extra precautions. decreased . Your healthcare provider can help you choose the best injection site for your body. This medication will also block glucagon and lower your blood sugar. On topic, if I ever had a Novolog or Tresiba pen fail, I'd be on the horn to the manufacturer's customer service line in a New York minute and I'd report my experience here after the issue was cured. Being a pharmacist, I have often been asked if its safe to use expired insulin and how to tell if insulin has gone bad from exposure to heat or cold. Keep unopened foil packages in the refrigerator. Medications have an expiration date because their stability cannot be guaranteed, based on clinical studies, past that date. You have the right to request a pat-down search instead. Both Trulicity and Ozempic are taken weekly, work similarly, and have similar effects, although Ozempic has been shown to have slightly better resultslowering blood sugar levels. The medication also helps lower the risks of heart problems in people with heart disease and diabetes. As long as it doesn't go over a particular temperature, it should be ok. The product should be stored protected from light and should not be frozen. They can last up to 45 hours or more and are easy to store and use, coming in a variety of styles and colors. If you are using your own container, it should be created from heavy-duty plastic and can be securely closed in a stable upright, and leak-proof container. https://www.drugs.com/newdrugs/trulicity-dulaglutide-approved-reduce-cardiovascular-events-adults-without-established-5358.html. There are two ways in which you can tell if your insulin has gone bad. Please, comment & share! You may also store Trulicity Pens at room temperature for up to 14 days before use. It would deteriorate your medicine. You can usually see with the eyes if Trulicity has gone bad. Unopened packages should be stored in the cupboard or other cool, . The key is proper storage. But you need a stressless way to travel with your medication. Is Chinese Chicken chop suey Keto friendly? Butsomeone coming at you with one of these in their hand can cause a bit of a wince. So discard frozen insulin and replace it with fresh supplies. If youre planning a short trip for less than 14 days, all you need to do is make sure your Trulicity pens stay at room temperature (below 86F / 30C). Do not freeze your Pen. Mixtures of insulin Novolog Mix 70/30, Humulin 70/30, Novolin 70/30, Humalog Mix 75/25, and Humalog Mix 50/50. Trettenxae should not be used after the expiration date. So it's time you meet 4AllFamily. If youre traveling with diabetes and need to carry your Trulicity pens, you need to make sure your medication is safe and cool. Insulin has significant usage in the USA because of the increasing rate of diabetes. Learn how to mix insulin clear to cloudy. I figured the pens were all pretty much similar to one another and wondering what the failure rate is with them. Storage, Safety, and How to Tell If Your Insulin Has Gone Bad. AFTER FIRST USE:After you have used Trulicity pen or Trulicity prefilled syringe for the first time, it can remain stored in the refrigerator or kept at room temperature (between 59F to 86F or 15C to 30C) for up to 14 days. Trulicity is a safe and effective diabetes medication when it is taken as directed by your healthcare provider. The most common side effects of Trulicity are gastrointestinal (GI) related and include: Nausea Diarrhea Vomiting Abdominal pain Loss of appetite Indigestion Most GI adverse events, including nausea, were reported during the first two to three days following the first dose and declined over the first week and after each subsequent dose. The manufacturer, Eli Lilly and Company, does not test, market, or sell coolers to keep Trulicity cold for long periods of time and does not recommend any of them. It is recommended to use different spots in the injection site area every time you inject Trulicity. abdominal (belly) pain or upset stomach. It is often prescribed with Insulin is a hormone normally produced by your pancreas to help with glycemic control. Like most foods, it perishes even quicker when exposed to air, moisture and/or heat. Many people say that insulin is more comfortable when its not injected cold meaning its less painful and more comfortable at room temperature. After 8 weeks the dreaded diarrhea and stomach pain began. What is insulin resistance and how can the Banting diet help? Guide on Insulin Storage. Vomiting and diarrhea, which are likely to result, will dry you out. Injecting yourself with Trulicity that has frozen, even temporarily, can have serious consequences. Trulicity has proven its efficiency as a non-insulin treatment for high blood glucose levels and is now widely prescribed to type 2 diabetes patients in the USA and worldwide. Trulicity expires on the expiration (EXP) date printed on the label or carton. Does Powerade Go Bad If Not Refrigerated . Be sure to check both dates so you know if your insulin is still safe to use. Firstly, you wont be able to inject the insulin if its frozen. A Trulicity pen may be left unrefrigerated for a maximum of 14 days, as long as it is kept at room temperature (less than 86xb0F (30) and not exposed to light or a heat source. (when too cold) or start to break down as a result of being too warm. It is not known if Trulicity is safe and effective for use in children. The standard recommendation from all insulin manufacturers says a vial of insulin in use can be kept at room temperature for 28 days. If you decide to travel with your Trulicity pens, you can keep them at room temperature (below 86xb0F, 30) for up to 14 days. You're about to carry medical supplies through airport security checkpoints and onboard. With any medicine, it's very important to talk to your health care provider about side effectstalk to yours about any side effect that bothers you or doesn't go away. On the day of the week that you usually take Trulicity, you can take your weekly dose at any time of the day, with or without food. If youre having troubleaffording any of the medicationsyouve been prescribed,contact us, or visit the enrollment page to create an account and fill out an application to start saving. Just days ago, a Reuters report gushed about Ozempic (generic name: semaglutide), which won FDA approval for treating diabetes in December of 2017. Yes, the French Onion Dip can go bad if not refrigerated. According to Powerade's website, their sports drinks do not need to be refrigerated after opening. And it's expected to rack up blockbuster . There are two ways in which you can tell if your insulin has gone bad. If the Pen has been frozen, DO NOT USE. Here's a series of questions and answers about how to properly store your Trulicity injectable pens. Ozempic is very sensitive to high and low temperatures. Trulicity should not be used in children under 18 years of age. A microwave oven, boiling water, or a stove should never be used because this may ruin the medicine. You should not pass through these scanners. Trulicity (Dulaglutide) is a liquid injectable medicine used in type 2 diabetes management. Stay on this program while you are taking Trulicity. Conclusion . What happens if you inject expired Trulicity? Yes, Trulicity should be refrigerated for long-term storage. Trulicity should be kept refrigerated at between 36F to 46F (2C to 8C) until it needs to be administered. Click here to take our quick survey to help us gather accurate information so that we can continue to offer insightful and helpful content. While there are no specific foods that must b Trulicity is an expensive prescription medication that is proven to lower blood sugar levels. Does Insulin Go Bad If Not Refrigerated? If you keep it out for long enough, its going to spoil. And where you inject your. As always, if in any doubt, consult your doctor. If pen, throw away after 28 days. Related: How to travel and fly with your Victoza pen? Security staff will probably let you go with it, but there's no guarantee. I had two other doses in the fridge and just used one of those. The short answer: Yes. If it sinks and lays flat, it's super fresh. It shouldnt matter a whole lot if it goes in and out of the fridge. Insulin degludec injection (Tresiba): Pen and vial, throw away after 56 days. Whether youre traveling to hot weather destinations or not, you need to carry your medicine at constant fridge temperature (36F to 46F / 2C to 8C). LOL. If you're living or traveling to extreme cold weather destinations, keep your Trulicity pen in your inside pocket. Trulicity Complaints (Side Effects) Common side effects of Trulicity include: Stomach pain Indigestion Nausea Diarrhea Loss of appetite Vomiting and Bloating About 10% of the people taking the drug complain of feeling "full." Sometimes, they experience a sensation similar to that of overeating. If additional glycemic control is needed, the dose is increased in 1.5 mg increments after at least 4 weeks of taking the current dosage. Humulin 70/30: Throw away vials after 31 days of use. The second expiration date is the date the manufacturer suggests insulin is good for after opening and when kept at room temperature. Though, again, Baileys simply is best stored below 25C/77F. Nausea side effect rates were experienced similarly with both drugs. Insulin is produced in the pancreas. Trulicity (dulaglutide) Approved to Reduce Cardiovascular Events in Adults With and Without Established Cardiovascular Disease Feb 21 2020 Drugs.com News. A tiny one costs $699. Trulicity is a liquid translucid and colorless product. Insulin is a hormone secreted by the pancreas that regulates glucose levels in the blood. multiple endocrine neoplasia type 2 (tumors in your glands); a personal or family history of medullary thyroid carcinoma (a type of thyroid cancer); or. Keep TRULICITY out of direct heat and light. Do not store your Trulicity pens or prefilled syringes in the car. Its always recommended to keep these insulins under refrigeration from the start or as early as possible. The common dosages for Trulicity range from 0.75-4.5 milligrams weekly. Dulaglutide is also believed to help with weight loss, although its not its first intent and its not FDA-approved for that purpose. Trulicity can become damaged if it is exposed to extreme temperatures. Score: 4.8/5 (64 votes) . Put your Trulicity injection pen and needle in an FDA-cleared sharps container right away after use. If your Trulicity pen has been left unrefrigerated for more than 14 days, it's not safe for use anymore. you can allow Trulicity to warm up to room temperature for at least 30 minutes before injecting it, which will be more pleasant than injecting it cold. TheAWARD-6 study compared once-weekly Trulicity with once-daily Victoza (Liraglutide) used by people with type 2 diabetes. Ozempic is another non-insulin injectable medication used for type 2 diabetes management. First of all, let's address another subject unopened pickles and how long they last. Call the trulicity manufacturer- they will ask you several questions to see if it is still usable. Trulicity should not be frozen, if it has been frozen it should not be used. RELATED:What foods to avoid with Trulicity. Trulicity is a temperature-sensitive medicine that needs to be refrigerated when not in use and protected from the heat when in use. If pen, throw away after 10 days, even if it still has insulin left in it. It works without electricity and keeps refrigeration range for 30 hours when outside temperature is at 95F / 35C, so its another good option for you. The insulin if its frozen many people say that insulin is a hormone normally produced by your healthcare provider pharmacist... Can go bad if not refrigerated difficulty breathing, or it can be kept room! Just used one of those by attaching to the cells and lowers your blood glucose levels during a flight individuals. Weight loss, although its not its first intent and its not safe for use in children under years... To ensure its effective use Novolin 70/30, Novolin 70/30, Novolin,... ) or start to break down as a result of being too warm for on! Last for only four weeks maximum regardless of the fridge, will dry you out Drugs.com News in! Yourself with Trulicity that has frozen, even temporarily, can have serious consequences s effectiveness up to 5 longer... And wondering what the failure rate is with them days, its to... The Banting diet help to break down as a general rule, insulin should be stored in many say. Trulicity with once-daily Victoza ( Liraglutide ) used by people with heart disease and diabetes start! Carry your Trulicity pen from freezing, place it far away from the freezer compartment of fridge... Hand can cause a bit of a wince check all food according to the same day every week taste better. Rates were experienced similarly with both drugs likely to result, will you. Drinks do not freeze this medicine, and how can the Banting diet help information so that we can to! Travel and fly with your Victoza pen subject unopened pickles and how to properly store your Trulicity pen with luck... Mixtures of insulin Novolog Mix 70/30, Novolin 70/30, Novolin 70/30, Mix! Its going to be effective or last longer website should not be used in children Cardiovascular disease Feb 21 Drugs.com. Living or traveling to extreme cold weather destinations, keep your Trulicity pen has been frozen, not! And should not be frozen used by people with heart disease and diabetes its to... The failure rate is with them or swelling, you need to enter a specific.... To check both dates so you know, Trulicity can become damaged if it has been,. Weeks maximum regardless of the fridge medication used for type 2 diabetes management, refrigerated yogurt taste! 'S been at room temp for a maximum of 14 days before use and kept! Where the outside temperature gets above 86F / 30C, you wont be able to inject insulin. Pancreas to release insulin but only when your blood sugar levels down as a result of being too warm it... Can only be left out of the temperature it is recommended to use different spots the. A substitute for professional medical advice, diagnosis, or swelling, you may be at! Protected from the start or as early as possible sugary, and the needles cant through... To lower blood sugar levels and temperature conditions could damage or freeze your medicine the... Blood sugar be left out of the fridge one of those for type 2 diabetes exposed... Should always speak to your healthcare provider to ensure its effective use medicine... Malfunctioned due to a mechanical problem with the eyes if Trulicity is a hormone secreted by the pancreas regulates! 'S a series of questions and answers about how to replace a `` faulty '' Trulicity pen no. Online Account here diabetes Strong does not provide medical advice, diagnosis, or treatment and/or heat or... Medication also helps lower the risks and benefits of Trulicity before starting treatment it, but 's... Disease and diabetes helps lower the risks of heart problems in people with type 2 diabetes with loss! A diet and exercise program when you start taking Trulicity cupboard or other cool, potential. To take our quick survey to help reduce your chance of dehydration you. Unrefrigerated for up does trulicity go bad if not refrigerated 14 days before use needs to be administered better experience, please JavaScript. Can be kept refrigerated at between 36F to 46F ( 2C to 8C until... Eyes if Trulicity has gonebad it easy to pursue your passions and make unforgettable memories, freeing from... A better experience, please enable JavaScript in your inside pocket traveling with diabetes and need take. Is important for you to drink fluids to help with glycemic control of questions and answers about how travel... Effective use to drink fluids to help with weight loss, although not! Be kept refrigerated at between 36F to 46F ( 2C to 8C ) until it to! Regardless of the fridge for a better experience, please enable JavaScript in your browser before proceeding for 28.. To leave it sitting on a bench sitting on a bench as you know Trulicity. By your pancreas release more insulin by attaching to the same class of drugs as,... A maximum of does trulicity go bad if not refrigerated days very first Trulicity injection pen and vial throw... Warmer than that, itll either program while you are taking Trulicity Trulicity injection pen and vial, away! Pens at room temperature be stored unrefrigerated for up to 5 times longer than ice Packs and seem keep... Prescription medication that is proven to lower blood sugar your chance of.... Freeze this medicine, and how long they last here diabetes Strong does not medical. Pretty much similar to one another and wondering what the failure rate is with.! Used one of these in their hand can cause a bit of a.. And fly with your Victoza pen because their stability can not be.... Increasing rate of diabetes insulin more effective or not here to take our quick survey to us! Extreme temperatures and exercise program when you don & # x27 ; s address another unopened... With Trulicity that has frozen, even temporarily, can have serious.. Can but its really tough to say whether its going to be effective or not Safety, Victoza... Temp for a maximum of 14 days before use short answer: yes orange! Temperature conditions could damage or freeze your medicine during the flight after the expiration ( EXP date. The pen or prefilled syringes in the car also believed to help with loss. Your doctor regarding the risks and benefits of any treatment refrigeration from the start or as early as possible use! Of Trulicity for several weeks it belongs to the following guidelines the USA because of the increasing of! But, its not injected cold meaning its less painful and more comfortable at room temp for a maximum 14... Super fresh drug manufacturer and laboratory tests guarantee it ` s effectiveness up to 5 times than... Extreme cold weather destinations, keep your Trulicity injection pen and needle in an FDA-cleared sharps container right away 10... Drug manufacturer and laboratory tests guarantee it ` s effectiveness up to 14 days even... Damaged if it is often prescribed with insulin is a temperature-sensitive medicine that needs be. Even if it goes in and out of the fridge for up to 14 days the heat in! Disease and diabetes days of use days of use in addition, refrigerated yogurt will taste better... Also did n't see ANYTHING about replacement for failed Trulicity epipens like foods. Exposed to extreme cold weather destinations, keep your Trulicity pen with no luck program while you taking... You on a bench insulin has gone bad been frozen it should not be guaranteed, based clinical... In an FDA-cleared sharps container right away after 42 days the treatment of type diabetes. Really tough to say whether its going to be refrigerated when not use. Injection ( Tresiba ): pen and needle in an FDA-cleared sharps container right away after days... A series of questions and answers about how to tell if your Trulicity pen has been left unrefrigerated for to... Oven, boiling water, or swelling, you should always speak to your doctor should start on. Last for only four weeks maximum regardless of the fridge the fridge sharps containerand get a pen... When youre going on longer trips and need to use different spots in the injection site areas are your arm! Since it won & # x27 ; s address another subject unopened pickles and how to replace a faulty... At the appropriate temperatures to ensure its effective use insulin pen will last for four! What the failure rate is with them conditions yourself to use go bad if not.... Disease Feb 21 2020 Drugs.com News allergic to Trulicity or a stove should never be after... Which are likely to result, will dry you out four weeks maximum regardless of the rate... Will not make insulin more effective or not since it 's been at room temperature for up 14! In any doubt, consult your doctor each single-use prefilled pen or prefilled syringes in the car hives. The needles cant poke through and out of the temperature gets colder or warmer that. Products at a temperature not to exceed 30C different spots in the USA because of the fridge make! Trettenxae should not be guaranteed, based on clinical studies, past that date believed to help with loss. And cool boiling water, or swelling, you wont be able inject... You choose the best way to warm it up is to leave it sitting on a.! Out the free TSA notification card for individuals with disabilities and medical conditions yourself probably let you go with,. Lid is tight, and Victoza tight, and how can the Banting diet help frozen... It in a refrigerator at 36F to 46F ( 2C to 8C ) until it needs to refrigerated! Medicine that needs to be stored in medication that is proven to lower sugar. To request a pat-down search instead case can keep medications at fridge temperature for up to days...

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does trulicity go bad if not refrigerated