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Vials should be kept sealed when not in active use, and standard aseptic technique is recommended to maintain sample integrity across a research timeline

For laboratory use, it may be reconstituted with bacteriostatic water or a suitable solvent, in line with standard research protocols

Extreme caution is advised in patients with epilepsy, advanced age, or chronic pulmonary disease because hypoxia and acidosis lower the seizure threshold and potentiate cardiotoxicity

FDA has also listed Ipamorelin acetate with significant-risk concerns for compounding, including immunogenicity and limited safety information for some routes