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Skorjanec S et al
When initiating ZEPBOUND, consider reducing the dose of concomitantly administered insulin or insulin secretagogues (e.g., sulfonylureas) to reduce the risk of hypoglycemia [see Warnings and Precautions (5.7)]
You get busy, you get distracted, and the vial sits out
It dramatically slows down the metabolic processes of any potential bacteria that may have been introduced, making it much harder for them to multiply
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