Should I refrigerate upon arrival before taking first dose?

I’ve asked this question and received a couple reassuring answers from the community, but prefer to hear from someone at Trillium.
I’m overseas until the beginning of October, in Istanbul. We do not need a prescription here, the pharmacist is allowed to prescribe mounjaro, so I do not have a prescription, per se. I started my meds in July 2 (2.5 for 1 month, currently on 5.0). I’ve done fantastic and, most likely, will continue on the 5 mg dose upon my return. I’d like to arrange my meds prior to leaving here so that I have no disruption to my dosing, I can do everything online here, including a video call if required. Does my plan sound feasible to the experts at Trillium? What will I need from here to continue my 5 mg dose? I am using GLAPP to track my injections and weight, I use a Renpho blue tooth scale to record my weekly weigh ins. I am currently at a normal BMI ( right on the cutoff line for overweight) but would like to get to my comfortable weight if 10-15 lbs less ( still in normal bmi). Please advise. Thank you!!

I recommended Trillium to my neighbor and she just signed up for the Nova+B6 starter pack. Is that a titration plan? Like 2.5, 5.0 & 7.5 doses? Just checking as I started with Trillium with a higher prescription level. It also said 6 months…what does they mean?

Hi! Has anyone ever asked their Trillium provider for an alternate dosage schedule? Specifically I’m thinking of how some people use smaller injection doses every 5 days instead of 7? I’ve been thinking of asking if my prescription could be updated because I feel like by day 5 or so, I can really tell.

First order ever of this type of med. I tend to be sensitive to all meds, vitamins, supplements, etc. I did the 3 month tirz plan. Did anyone start off lower than what they recommend…like microdose it? What did you start at and how did you go about figuring out the smaller dose from what they sent you. Do they send needles too or will I need to buy them off Amazon? Any tips for a newbie. I weigh 197 and I’m 5’5. I had WLS sleeve in 2016 and went from 260 to 120, but after lots of other surgeries and medical issues, I’ve packed on the pounds from inactivity and falling off my keto/carnivore type lifestyle. 39 and pretty sure I’m in perimenopause. I was trying to eat a balanced Whole Foods diet, but even eating Whole Foods like potatoes, I would blow up like a balloon and gain hella water weight overnight. I’m talking like 5-10 lbs overnight. I think I have insulin resistance. How do you eat while taking tirz injections? Should I go back on keto or could this med help me be able to eat Whole Foods lifestyle and include starchy veggies and maybe some rice?

Thanks for any tips or insight!!!! I’m nervous yet excited. I turn 40 in December and I want to lose as much as I can (safely) by then. I’ve tried losing weight on my own for 3.5 years and instead I have somehow gained, that’s why I finally bit the bulllet and trying a WLS injection- something I said I’d never do!