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A dull, previously-used needle is both more painful and more traumatic to tissue, and reusing needles is a sterility failure

Compounded tirzepatide is prepared by a state-licensed compounding pharmacy under the supervision of our physician

Alongside the cost, this means many patients do not stay on the drugs for long

Finally, people without general VHS pharmacy coverage (mainly certain Spanish government employees whose prescriptions are reimbursed by mutual societies for civil servants and are thus not included in the pharmacy databases of the VHS), and people not registered in the municipal census (non-residents or temporary residents), were excluded because of limitations on follow-up (see Fig