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Rare but serious adverse effects include pancreatitis (though causality remains uncertain), gallbladder disease, and potential thyroid C-cell tumors (observed in rodent studies but not conclusively demonstrated in humans)

After first use, pens can be stored at room temperature (not above 30C or 86F) for up to 56 days

You might notice subtle appetite changes, perhaps finding that youre less interested in a late-night snack or that lunch keeps you satisfied longer than usual

They can be applied in the same routine without concern, though some users prefer to apply them in separate steps to give each product time to contact the scalp before layering the next