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Temperature Requirements Unused dulaglutide pens should be refrigerated at 2C to 8C (36F to 46F)

Additionally, if breathing difficulties coincide with severe gastrointestinal symptoms, dehydration, or altered mental status, urgent medical assessment is necessary to evaluate for complications such as severe electrolyte disturbances or metabolic derangements that can occur with excessive vomiting or diarrhea

Sources Guo EL, Katta R

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