Particles or Floaties: If you see tiny specks, crystals, or flakes floating in the liquid, do not use the pen
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The MHRA has dismantled UK-based illicit manufacturing operations producing fake retatrutide and tirzepatide pens, and counterfeit products have been found to contain the wrong dose, the wrong drug, or contaminants
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Full text: NIH Genetic and Rare Diseases Information Center