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Turner is a cofounder of The Aesthetic Concierge, a medical weight-loss clinic in Charlotte

Preventing lipohypertrophy by rotating injection sites regularly is the best line of defense

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Clinical Evidence A study published in the New England Journal of Medicine followed 47 MCAS patients : 89% showed improvement in symptoms, including allergic, neurologic, digestive, and inflammation-related reactions Improvements happened within hours to days Only 13% experienced weight loss , and none became underweight Consistency is crucial

But persistent pain lasting hours or sharp pain during injection suggests a technique problem

Occasionally, he felt tired, perhaps from eating a bit less than usual