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If you aspirate and see blood, withdraw the needle, discard it, and use a fresh needle at a different site

J Cell Physiol 2019:1 Alivernini S, MacDonald L, Elmesmari A, Finlay S, Tolusso B, Gigante MR, Petricca L, Di Mario C, Bui L, Perniola S, Attar M, Gessi M, Fedele AL, Chilaka S, Somma D, Sansom SN, Filer A, McSharry C, Millar NL, Kirschner K, Nerviani A, Lewis MJ, Pitzalis C, Clark AR, Ferraccioli G, Udalova I, Buckley CD, Gremese E, McInnes IB, Otto TD, Kurowska-Stolarska M (2020) Distinct synovial tissue macrophage subsets regulate inflammation and remission in rheumatoid arthritis

This ultimately means more fat and less carbohydrates and protein, will be burned off as energy

[3] [4] If pancreatitis is suspected (severe abdominal pain, possibly radiating to the back, with or without vomiting), discontinue Zepbound immediately and seek urgent medical evaluation