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Add water slowly down the inner wall of the vial never directly onto the powder to avoid foaming and protein denaturation

In the United States, there is a boxed warning of the possible risk, and those with personal or family histories of medullary thyroid cancer or multiple endocrine neoplasia syndrome type 2 are therefore advised to avoid liraglutide, dulaglutide, exenatide extended release, and semaglutide

Switching up injection sites helps avoid lipohypertrophy (those lumps or thickened areas of skin that can form over time), lowers the chances of bruising and irritation, and supports steady medication absorption

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