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Scenario B: the same patient presents to the emergency department with an acute upper GI hemorrhage, hematemesis, and hemoglobin dropping from 11.2 to 8.8 over six hours

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Required materials: Lyophilized retatrutide vial (5 mg, 10 mg, or 20 mg) Bacteriostatic water (0.9% benzyl alcohol preserved) 3 mL or 5 mL syringe with an 18 to 21 gauge drawing needle Insulin syringes for dosing (U-100, 29 to 31 gauge, 0.3 mL or 0.5 mL) Alcohol swabs (70% isopropyl) Fine-point marker or label tape Clean, flat work surface Optional but recommended: Sharps container for used needles Nitrile gloves 0.22 micron syringe filter (if concerned about particulate contamination) The drawing syringe transfers water into the peptide vial

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