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For insulin - growth hormones (Nutropin, Novotropin, Omnitrope, Genotonorm, Saizen) L-Thyroxine, medicines for arthritis (Enbrel, Humira) or osteoporosis (Forsteo) IVF (Menopur, Puregon, Gonal-F) or any heat sensitive vial or pen Discreet and practical 24 hours between 2 and 8 ° C