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I've learned a lot about Symlin.

Medco has started shipping my Symlin and Novolog (insulin) without telling me.

Yesterday I got a hot batch of Symlin. The gel packs were cold but at one end of the package and the Symlin was hot.

I put it all in the fridge but decided to try it to see if it was still good. it wasn't. Clearly after two doses.

I did leave the rest of the shipment in the fridge.

I left that bottle out in the shipping contents and called Medco at 6:00 am.

They told me that it would be good as long as it was rechilled so I took a second vial out and used it.

Apparently they are right as it is working fine now.

I even called the 1800 number for Symlin and they said that they can tell if a vial is good if you give them the worst possible temperature, the lot, and the expiration date. they did say it was good.

FYI: I told the Medco pharmacist that if they packed with the Symlin in the middle with the gel packs at each end it would have been cool and he sais he couldn't comment but would pass my comment on.

Guess what? That is exactly how my Novolog was packed and it was cold.

Go figure.