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(12) described that 8 out of 26 (31%) patients showed carnitine deficiency at baseline and 2 out of 7 (29%) patients showed carnitine deficiency at 3-month follow up

To minimize bruising, apply an ice pack for 5 minutes before injection to numb the area, avoid injecting into skin that already shows bruising, and ensure you are not hitting small blood vessels by choosing slightly different spots each rotation

And you could possibly vomit your food during the procedure

Step 1: Document the symptoms Before contacting your healthcare provider, document what you are experiencing

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This avoided the need for assumptions around HbA1c reductions on intensification to basal insulin that could artificially influence model outcomes