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It turns out we do not fully understand the underlying process

The risks of self-injection with "home kits" are too significant to ignore: Improper Injection Technique: Without proper training, you could cause pain, bruising, infection, nerve damage, or inject the medication incorrectly, making it less effective

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Respiratory symptoms or hypotension: IV diphenhydramine 1 mg/kg, steroid, hold acetylcysteine for one hour, epinephrine (intramuscular bolus or infusion)

Systemic lupus erythematosus is a chronic autoimmune disease which also disproportionately afflicts black and hispanic populations