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Available from: Liu JJ, Liu Q, Wei HL, Yi J, Zhao HS, Gao LP

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These are the early signs of vascular compromise and they require immediate intervention with high-dose hyaluronidase, warm compress, nitroglycerin paste, aspirin, and emergency escalation when applicable

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Over weeks of treatment, metabolic flexibility improves

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* **Focus on Nutrition:** Ensure adequate intake of protein, iron, zinc, biotin, and other essential nutrients

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The program also includes dedicated Care Coach support

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Patient safety considerations include the potential for injection site reactions when administering multiple subcutaneous injections, particularly if proper site rotation is not maintained

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