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Use fresh diluent and maintain strict sterility throughout reconstitution and injection

The FDA has called this out directly: FDA has warned companies that have illegally sold unapproved drugs containing semaglutide, tirzepatide or retatrutide that are falsely labeled "for research purposes" or "not for human consumption." These products have been sold directly to consumers for human use with dosing instructions

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mostly on the labia minor, and sometimes on the labia majora The melanotic macules may be present at other locations within the female genital tract They form discolored flat and asymmetric patches on the vulva that are about 1-5 cm in size The macules are pigmented blue-black or may take on dark brown shades

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