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Other important safety considerations include risk of pancreatitis, gallbladder disease, hypoglycemia (especially when used with insulin or sulfonylureas), and delayed gastric emptying that may reduce oral contraceptive effectiveness (requiring backup contraception for 4 weeks after initiation and each dose escalation)
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It could indicate bacterial contamination, that the peptide has not fully dissolved, or that it has crashed out of solution due to improper reconstitution or a pH issue
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