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After that, take your next weekly dose on the following Wednesday, sticking with your new injection day going forward

the emphasis is on identity, vial format, and lot-specific certificate status

Visual indicators of degradation Perform a visual inspection every time you draw a dose

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Doses above 2ml per injection are occasionally used in bariatric or metabolic clinics for patients with severe hepatic steatosis, but they carry increased risk of homocysteine elevation without proportional benefit

In rare cases, more serious side effects can develop