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In a hospital or clinic, if a medication order allows it, a pharmacist might choose bacteriostatic water to reconstitute a multi-dose vial of a drug so that it can be used for multiple patients/doses (as long as its safe for that drug and patient population)

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Baseline and interval laboratory monitoring should include: fasting glucose and HbA1c (tirzepatide can cause hypoglycemia in non-diabetic subjects if caloric intake drops too low), lipase and amylase (pancreatitis risk with GLP-1 agonists), liver function tests (AST, ALT, bilirubin), and thyroid panel (TSH, free T3, free T4)