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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments and Good Clinical Practice [21, 22]

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Correct injection technique includes pinching skin to create a fold, inserting the needle at 90 degrees, and slowly depressing the plunger over 3-5 seconds

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If more than four days have passed, skip the missed dose and wait until your next regularly scheduled day

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