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A vial punctured 17 months into its 18-month shelf life carries a multi-dose window capped at the manufacturer expiration (roughly 30 days, in that case), not the full 28-day post-puncture window if those overlap

Some patients also inadvertently follow very low-carb eating patterns due to appetite changes, which can cause short-term fatigue as your body adjusts

Tuesday Poster Session Category: Biliary/Pancreas P4425 - Hyperkinetic Biliary Dyskinesia Following Discontinuation of GLP-1 Receptor Agonist Therapy Tuesday, October 28, 2025 10:30 AM - 4:00 PM PDT Location: Exhibit Hall Presenting Author(s) McKenna Andrews, MD 1 , David W