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Eli Lilly has also warned that using brand-name pens for multiple draws (to extract smaller doses) poses contamination risks because the pens lack preservatives and are approved for single use only

Human causation remains unproven, but the drug is contraindicated in people with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2

As a result, many patients find it more challenging to maintain the healthy eating habits and lower calorie intake that contributed to their weight loss