This is risky for several reasons: Wrong patient selection, such as people with pancreatitis, gallstones, or severe kidney disease using them without screening Rapid, unsupervised dose escalation No monitoring of kidney, liver, pancreatic, or eye status Complications seen with unsupervised use include pancreatitis, dehydration-induced acute kidney injury (especially in hot Indian summers with vomiting or diarrhoea), and even diabetic ketoacidosis in susceptible individuals
Carefully remove the outer needle cap and then the inner needle cap
Anti-inflammatory support without impairing healing
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It is administered by subcutaneous injection once weekly
Patients with existing retinopathy may need exams every 3 to 6 months during the first year of treatment