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When the powder touches water, the outside instantly soaks up water and turns into a gel

No, numbness (paraesthesia) is not listed as an adverse reaction in the UK Summary of Product Characteristics for Mounjaro, nor was it identified as a significant adverse event in the SURPASS clinical trial programme

The risk of spontaneous abortion has been found to be greatly increased in smokers versus non-smokers [281]

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It honestly felt a bit daunting at first, but its surprisingly straightforward to use once you get the hang of it, often starting with a 0.25 mg dose as recommended by my doctor to ease into it