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The injection steps: Wash your hands thoroughly with soap and water Clean the top of your tirzepatide vial with a fresh alcohol swab Remove the cap from your insulin syringe without touching the needle Pull back the plunger to draw air equal to your dose volume (for example, 20 units of air for a 20-unit dose) Insert the needle through the vial rubber stopper and push in the air Invert the vial so the needle tip is submerged in liquid Pull back slowly to draw your calculated dose Check for air bubbles

doi: 10.7326/0003-4819-130-8-199904200-00014

Your dermatologist or physician can diagnose it by visual examination of your face

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