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Lancet Diabetes Endocrinol 2015;3:697703

It may be difficult to self-administer your medication on some sites, so you may want to get help from a friend or family member before using the upper arms or back

FASEB J 11 : 118124

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A lot of "it isn't working" turns out to be "I wasn't using it the way it works." If you've been genuinely consistent for several weeks and still notice little change, the dose may simply be inadequate, or a high alcohol tolerance may be masking the effect

Provide this information at your preoperative assessment visit and confirm it again on the day of surgery