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Is there a risk of contamination if I reuse a vial multiple times

Zepbound carries a boxed warning for risk of thyroid C-cell tumors and is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2)

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[2] Ramsey, Melinda M., et al

Similar cAMP-mediated mechanisms may occur in GLP-1 receptive neurons, but more research is needed Figure 1

Adding a stimulant during this time can overwhelm your system and increase the risk of severe nausea or heart palpitations