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Description

The test is terminated upon symptom exacerbation, defined as an increase of 3 points on a 010 visual analogue scale (VAS) [30] or at the point of voluntary exhaustion (9 on a 010 Borg-RPE scale [31, 32])

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These degradation mechanisms directly explain why the 28 to 90-day BUD exists, why temperature control matters so much, and why visual inspection alone cannot tell you whether your tirzepatide is still fully potent