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Intestinal microorganisms metabolize TML into trimethyl-5-aminovaleric acid (TMAVA), which can competitively inhibit the binding of -BB to BBD, thereby inhibiting carnitine biosynthesis and FAO in the liver, promoting steatosis and aggravating fatty liver [250]

doi: 10.1111/bjd.12397

& Ejsing, C

CagriSema Storage & Handling Storage Reference Lyophilized (powder form) Cagrilintide -4F (-20C) long-term Semaglutide -4F (-20C) long-term Pre-blended CagriSema -4F (-20C) long-term Reconstituted (liquid form) Cagrilintide 35.646.4F (28C) Semaglutide 35.646.4F (28C) Pre-blended CagriSema 35.646.4F (28C) Appearance Cagrilintide Clear after reconstitution Semaglutide Clear after reconstitution Pre-blended CagriSema Clear after reconstitution Stability window after reconstitution Cagrilintide Up to ~28 days refrigerated Semaglutide Up to ~28 days refrigerated Pre-blended CagriSema Per supplier COA Always defer to the supplier's specific stability window

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