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While it is considered safe and effective when used as directed, it should not be used if you or your family have a history of certain thyroid cancers

Many firefighters inject on their first off-duty day after a shift cycle

Instead of doubling the dose every four weeks (0.25 to 0.5 to 1.0), you increase by about 5 units at a time

Taking the vial from a cold fridge or freezer and immediately injecting room-temperature liquid can cause condensation to form

A small number of patients report mild reactions including nausea, slight discomfort at the injection site, or temporary tiredness