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The firms own SOP states that OOS results must be immediately reported to Quality and the pharmacist-in-charge, and that investigation, root cause analysis, recall, and customer notification procedures shall be followed when applicable. The FDA pointedly notes that the when applicable language effectively makes investigation and notification optional rather than mandatory

Not everyone gets approved

Rees et al

Some who traditionally would fear injections are willing to try a weekly pen when they hear about significant weight improvements

Weight loss typically resumes at a more predictable rate once prednisolone is tapered or discontinued

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