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If you choose to have a coffee enema and experience any serious side effects, seek emergency medical help

10mg tirzepatide vial (lyophilized powder) Bacteriostatic water (not sterile water, not saline, not normal water) Sterile syringe for reconstitution (a 3ml syringe with a needle works well) Alcohol swabs (70% isopropyl alcohol pads) U-100 insulin syringes for dosing (29-31 gauge) Sharps container for disposal Clean, well-lit workspace A note on the water: you must use bacteriostatic water , not sterile water for injection

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