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[1] [2] Proper injection technique can reduce local reactions: Rotate injection sites among the abdomen, thigh, and upper arm to prevent localized sensitization Allow the medication to reach room temperature before injection (according to the Instructions for Use) [1] Use proper subcutaneous technique with appropriate needle angle Avoid injecting into areas with skin abnormalities, scars, or previous reaction sites Do not reuse needles or share pens between patients Note that upper arm injections may require administration by another person Patient education forms the cornerstone of safe use
Set baseline hormone tests, including total and free testosterone, LH, FSH, prolactin, estradiol, GH, and IGF-1, and repeat every planned interval to catch suppression or excess
Berberine can increase the effects of these drugs, which may lead to blood sugar dropping too low or blood pressure becoming too low
Most patients require blood thinning therapy for at least three months, though some may need longer anticoagulant treatment depending on their risk factors and underlying medical conditions
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