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If needed, unused pens may be kept at room temperature (up to 86F) for up to 21 days

Constipation occurs in some individuals due to slowed gastrointestinal transit, while others may experience loose stools or diarrhea

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[10] [11] Treatment starts with a lower dose (0.25 mg weekly), gradually increasing every 4 weeks (0.5 mg, 1.0 mg, 1.7 mg) until reaching the maintenance dose of 2.4 mg to minimise gastrointestinal side effects

If these cost much less, I dont think there would be a debate about coverage given their clinical effectiveness, he says