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In that case, sterile water for injection (SWI) is the alternative but you'd need to reconstitute fresh for each dose or within 24 hours

Patients inject subcutaneously into the abdomen (at least two inches from the navel), front of thigh, or back of upper arm

The mechanism is fundamentally different, the GH pulse profile is dramatically different, and the clinical results in adult patients are different enough that the choice between them is rarely a tie

Tirzepatide, used in medications like Mounjaro and Zepbound, showed even greater results, where participants in some trials lost up to 22.5% of their body weight