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However, the amount of residual fluid in a Wegovy pen isnt enough to constitute a 5th dose

Shagroni T et al (2021): Nonsteroidal Anti-Inflammatory Drugs, Disease-Modifying Antirheumatic Drugs, Nonopioid Analgesics, & Drugs Used in Gout (Chapter 36)

No, you should only use the diluent recommended by the pharmacy or your healthcare provider, which is almost always bacteriostatic water for multi-dose vials

When changes in metabolism occur and the cell danger response is continually activated, cells communicate to the body to remain in a state of overexcitation to external stimuli