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What patients notice first depends on their individual baseline

If reconstituted: refrigerate (~28C)

This document pertains to lyophilized powder supplied for laboratory applications

Patients who transition from gastric banding to other bariatric procedures such as sleeve gastrectomy or Roux-en-Y gastric bypass should be aware that these carry a higher risk of B12 and other micronutrient deficiencies due to their malabsorptive components, and monitoring should be intensified accordingly

Rotate injection sites at least 1 inch apart with each injection to prevent lipohypertrophy

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