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So 100% yes, do not skimp on the preservative

1 Introduction Neurodegenerative diseases (NDDs) comprise a heterogeneous group of disorders characterized by the progressive loss of neurons or myelin in the brain and spinal cord, including Alzheimers disease (AD), Parkinsons disease (PD), multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), and Huntingtons disease (HD) (Wilson et al., 2023)

This is especially important when daily GLP-1 regimens face a high risk of discontinuation within just 120 days

Patients should not attempt to withdraw medication from these pens, as this can result in serious dosing errors