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These "close enough" habits create concentration errors that persist for every dose drawn from that vial

Baseline evaluation should include HbA1c (if diabetic), comprehensive metabolic panel, lipid profile, and assessment for contraindications

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The mechanism is the same: reduced food intake and impaired absorption from slowed gastric emptying

Patients who notice persistent palpitations, particularly if accompanied by chest discomfort or breathlessness, should report these symptoms to their healthcare provider

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