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Constipation, reduced appetite to the point of undereating, or persistent nausea may signal that your current dose is optimal rather than a sign to advance further

Refrigeration before first use is essential to preserve full potency

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A: If you experience injection site reactions such as bleeding, blistering, burning, coldness, discoloration of skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site, check with your healthcare professional

Your choice depends on your tolerance for side effects during the ramp-up period and how quickly you want to reach full therapeutic levels