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In some cases, it can damage your kidneys so badly that you might need emergency dialysis

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Never Share a ZEPBOUND KwikPen Between Patients Advise patients that they must never share a ZEPBOUND KwikPen with another person, even if the pen needle is changed, because doing so carries a risk for transmission of blood-borne pathogens [see Warnings and Precautions (5.10)]

This can be concerning, but understanding the underlying causes and how to manage them can help patients continue their treatment safely