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When you rotate injection sites properly across both thighs, abdomen, and arms, you reduce the risk of lipohypertrophya thickening of fatty tissue that can occur with repeated injections in identical spots

If you know that dose-escalation weeks hit you hard, timing the injection for evening means you wake up the next morning past the worst of it

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2- acute and chronic treatment of patients with an inborn error of metabolism , haemodialysis that results in secondary carnitine deficiency characterised by severe muscle cramps and weakness .lack of energy and anaemia

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