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Particles or flakes visible Visible particles floating in the solution, whether they look like tiny crystals, flakes, or specks, mean the tirzepatide should not be used

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Figure 1 Clinical examination revealed adduction paresis of the fingers of the left hand (muscle strength grade 3/5), atrophy of the interosseous muscles, distally accentuated hypesthesia of the left upper extremity, spasticity of the left lower extremity, and an unsteady gait with a tendency to fall to the left

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