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If anything looks different from when you packed it, err on the side of caution and use a fresh vial from your refrigerated home supply

But the pace differs
Consult a healthcare provider before consuming alcohol with Contrave

[2] Jastreboff, A.M., et al

The injection is given subcutaneously, meaning it is delivered just beneath the skin

Most of the weight loss occurs in the first 6 months, with the remaining months showing smaller incremental reductions