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(Live vaccines, such as FluMist, are vaccines that contain small amounts of live, but weakened, viruses.) Interactions that increase your risk of side effects Increased side effects from other drugs: Taking methotrexate with certain medications raises your risk of side effects from those drugs

Saline can cause precipitation and peptide inactivation with certain peptides, including tirzepatide

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This is a fundamentally different approach than simply adding more of a hormone