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There's some risk of introducing bacteria into your system using a pen that's been out longer than recommended." Mir Ali, MD According to news reports, the potential risks associated with using the remaining medication in the pen as a fifth dose has reportedly spurred Eli Lilly, the maker of Mounjaro, to redesign its injector pen to eliminate the extra liquid

Depths above that increase risk of scarring and infection without professional training and sterile technique

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The trade-off is that some patients respond more strongly to one product than the other, and a course of three to five sessions is typically needed for the strongest result