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Garvey WT, Mechanick JI, Brett EM, Garber AJ, Hurley DL, Jastreboff AM, et al

Lyophilized product requires reconstitution before each use period, which adds a step, requires bacteriostatic water, and introduces a contamination opportunity

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Seek immediate medical attention (call 911) for signs of a severe allergic reaction, including difficulty breathing, facial/throat swelling, or widespread rash

Severe, persistent vomiting: If you cannot keep fluids down for more than 24 hours Signs of pancreatitis: Severe abdominal pain radiating to the back, often with vomiting Hypoglycemia symptoms: Shakiness, confusion, sweating, rapid heartbeat
