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In addition, bariatric surgery has been associated with long-term improvements in metabolic health leading to reductions in cardiovascular risk factors, cardiovascular events, microvascular complications of diabetes, cancer, and mortality (Cummings 2018)

To minimize reactions: Rotate injection sites consistently Allow alcohol swab to dry completely before injecting Inject slowly Apply gentle pressure after withdrawing needle Avoid touching or rubbing the site If reactions persist or worsen after two weeks, consider switching injection sites (try thigh instead of abdomen) or reducing dose temporarily

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