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If blood appears, you may have hit a blood vessel, and it's best to withdraw and try another injection site

More than 3,300 lawsuits are currently pending in the MDL, with plaintiffs alleging that the Paragard copper IUD is defectively designed and prone to breaking upon removal, often requiring surgical intervention

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10.1038/s41598-020-80063-0 186 ZhangX.FuY.LiH.ShenL.ChangQ.PanL.et al (2018)

Sharps, alcohol wipes, the medication, and clear written instructions covering storage temperature and injection technique were all in the box

Redundant Mechanisms of Action While tirzepatide has an additional GIP receptor agonism, both medications fundamentally target pathways related to GLP-1