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Fatigue and energy changes Some researchers report transient fatigue when first combining the two compounds

That is far beyond the static subcutaneous examples on this page and shows why oral and injected amounts should not be treated as interchangeable

Pulmonary Aspiration During General Anesthesia or Deep Sedation Inform patients that ZEPBOUND may cause their stomach to empty more slowly which may lead to complications with anesthesia or deep sedation during planned surgeries or procedures

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Archives of Facial Plastic Surgery, 3(1), 28-32