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Historically, about 5 washes have been needed between each step resulting in a large majority of the total waste generated and driving a high process mass intensity (PMI) 14
Because these bulk quantities contain the equivalent of millions of individual doses, even a single enforcement failure at this scale introduces massive systemic risk to public safety
Semaglutide carries a boxed warning for the risk of thyroid C-cell tumors and is contraindicated in patients with a personal or family history of medullary thyroid carcinoma or MEN 2
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