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The FDA label specifically warns that oral contraceptives may be less effective due to delayed gastric emptying, and recommends using a non-oral contraceptive method or adding a barrier method for 4 weeks after initiation of Zepbound and for 4 weeks after each dose escalation

If I do have a flair up its very minimal and goes away faster than normal

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Its safety has been well-established through 60 years of clinical experience and trial data [10]

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A 250 mcg BPC-157 dose from a 1000 mcg/ml vial is 25 units on an insulin syringe