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Tap and distilled water are not sterile

Back Bagley, D (Oct 2020) 'Gut Instincts: The endocrinologists behind the 2020 Warren Alpert Foundation Prize', Endocrine News , 15-21

The subcutaneous injection introduces a small volume of solution into the tissue beneath the skin, which can cause mechanical tissue distension and activate local nociceptors

For retatrutide coverage, you typically need BMI over 30, or BMI over 27 with weight-related health conditions like diabetes or hypertension

2007;293:E1746E1755
