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10.1007/s00424-019-02258-3 46 TangL.-X.WangB.WuZ.-K

The exposure-adjusted incidence rate for treatment-emergent adjudication-confirmed pancreatitis in the pooled clinical studies for OSA (Studies 5 and 6) was 0.84 patients per 100 years for ZEPBOUND and 0 for placebo-treated patients

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Using simple sterile water (which has no preservative) would turn your vial into a petri dish after the first puncture, rendering subsequent doses unsafe and unusable for research

Bottom line: For ADHD, clinicians overwhelmingly prefer glycinate and L-threonate, with citrate used only in specific circumstances