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The case underscores why reactions that are spreading or significantly changing in character are worth discussing with your healthcare provider rather than monitoring alone

For patients who are not well-controlled on a treatment with metformin and basal insulin, a treatment intensification with a DPP-4 inhibitor may be feasible

This must be supported by medical records

Sabharwal advises patients firmly against sourcing any GLP-1 medication outside a licensed pharmacy with a valid prescription, given the well-documented risk of counterfeit vials online

Healthcare providers closely monitor for side effects, particularly gastrointestinal issues and dehydration

The pH of the solution plays a critical role too