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The Mounjaro FDA prescribing information does not list local injection-site reactions on their own as a reason to discontinue

It uses patented state-of-the-art Optimal Pulse Technology (OPT) to deliver a safe, comfortable, effective in office treatment for dry eye, Meibomian gland dysfunction (MGD), blepharitis, styes (hordeola), chalazia, ocular rosacea, and Demodex

The international journal of biochemistry & cell biology, 29(5), 743-751

Know that if you receive spinal anesthesia, an epidural , a spinal puncture (spinal tap), or other types of spinal surgery or spinal procedures while on apixaban, it can lead to the formation of a blood clot around the spinal cord