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Moving from 0.5 mg to 1.0 mg, or from 1.0 mg to 2.0 mg, typically triggers a recurrence of belching and nausea that mirrors the initial onset pattern, then resolves again over 4-8 weeks

Inspect for Clarity: If the solution is discolored, contains particles, or appears cloudy, it should not be used, and healthcare providers should be notified

Authors' Contributions All authors contributed to the study conception and design

The blue pen also contains 1.5 mL of solution and delivers four weekly doses per pen

At lower doses the risk may be smaller, but strength training and adequate protein intake are non-negotiable complements to treatment