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After first use, refrigerate and discard after 28 days
If the vial can hold 5 mL, that water volume halves the concentration from 32 mg/mL to 16 mg/mL and may reduce the copper-peptide sting
Also, Wegovy must not be given to people with a personal or family history of multiple endocrine neoplasia syndrome type 2 (MEN 2) or medullary thyroid carcinoma (MTC)
Cyanocobalamin - Drug interactions and precautions
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