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Weight-positive medications in the tricyclic antidepressant category include amitriptyline, doxepin, and imipramine

It was annoying

They come at a stated concentration, ready to draw and inject

By the third or fourth draw, the solution may contain a clinically relevant bacterial load

Management strategies: Rotate injection sites preventing localized reactions, inject after eating reducing nausea risk, start lower doses titrating up gradually, take with food and plenty of water, monitor blood pressure if known hypertension, discontinue immediately if signs of allergy (hives, difficulty breathing, facial swelling)

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