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VYVANSE can be diverted for non-medical use into illicit channels or distribution [see Drug Abuse and Dependence (9.2)]
If you have experience with semaglutide or tirzepatide , you already have a reference point for GLP-1 mediated effects
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Refreeze or replace cooling elements every 12 hours, and use a thermometer to monitor that temperatures stay between 36F and 46F
Patients should discuss long-term treatment plans with their healthcare provider
However, it is an invasive, often painful procedure with significant cost and downtime
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