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Adverse effects are rare, but the primary concern is the risk of hyperpigmentation, especially in dark-skinned individuals [99]

Without any insurance, the self-pay program through LillyDirect brings it to $299 to $449 per month for the KwikPen or vials, depending on dose

doi:10.1016/j.metabol.2019.04.014 12

The medication's effect on gastric emptying may influence the absorption of certain oral medications, though significant nutrient malabsorption is not a labeled effect

According to the company's website, Direct Meds provides the technology infrastructure, customer service, nursing support, and coordination that enables the telehealth experience