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If you suspect an intramuscular injection (deeper pain, faster onset of effects), do not panic

Invert the vial and slowly pull back the plunger to your desired number of units

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This can happen when medication expires , when vials are stored improperly, or when contamination occurs during reconstitution

However, semaglutide is more likely to cause gastrointestinal issues like vomiting and diarrhea, while bupropion is more commonly associated with dry mouth and insomnia