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The most common side effect by far is nausea

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Lopez, Y., Franco, C., Cepeda, A., & Vzquez, B

These antibodies impersonate thyroid stimulatory hormone ( TSH ) normally produced by the pituitary gland, stimulating the production of thyroid hormones T4 and T3 [1]

[1] [4] Immediate disposal is required if: The solution appears cloudy, discolored, or contains particles The pen has been frozen at any point The pen has been exposed to temperatures above 86F The pen has been shaken vigorously The pen is cracked, damaged, or malfunctioning The pen has been stored improperly and the duration of improper storage is unknown An unused pen has been out of refrigeration for more than 21 days Proper disposal follows FDA guidelines for injectable medications