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Anticoagulants may only be prescribed for three to six months, but may be prescribed for longer periods in patients with: Recurrent DVT or pulmonary embolisms

Shaking or rolling the pen vigorously also introduces air, which is why manufacturers recommend gentle mixing only

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We recently encountered a similar case at our institution - a 49-year-old woman with type 2 diabetes, obesity, and chronic pain on long-term narcotic therapy, who presented with abdominal distension and vomiting after two years of tirzepatide (Mounjaro) therapy

Advertisement Article continues below this ad The drug has been around since 2017 to treat diabetes

Bonarrigo says