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When to contact your pharmacy Contact your pharmacy if you observe any of the following: an unexpected color change, cloudiness that was not present when you first opened the product, particles or debris in the solution, a damaged pen or vial, a product that appears to have been tampered with or previously opened, or any discrepancy between the product appearance and what you have received previously

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In the absence of definitive data, the current FDA recommendation is to stop the medicine two months before pregnancy when possible because the medication can remain in your system for some time

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