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In that case, sterile water for injection (SWI) is the alternative but you'd need to reconstitute fresh for each dose or within 24 hours

About the Experts Michelle Cooper, MD, a board-certified OB-GYN and menopause specialist Alex Watson, M.D., a board-certified endocrinologist and obesity specialist Caroline Messer, M.D., a double board-certified endocrinologist and founder of Well by Messer