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If you use sterile water, the vial should be considered single-use or discarded within 24 hours

For one, he has dropped about 18 pounds from his starting weight

10.1016/S0896-6273(00)80837-5 59 KhodorovaA.NicolG

Its a chance to reset our relationship with food and health. If you want to lose weight on these drugs and develop the tools you need to keep it off for good its well worth taking these steps to maximize your chance of success

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Monitoring and adjustment protocols should include: Weight and vital signs at each visit (initially monthly, then quarterly) Assessment of medication tolerance and adherence Evaluation of eating behaviors and physical activity Laboratory monitoring as outlined previously Reassessment of weight-related comorbidities Realistic expectations should be established through shared decision-making