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It increases side effects (nausea, vomiting, severe gastroparesis risk) without additional weight loss or glycemic benefit
Scalp massage may promote circulation, though evidence for its effectiveness is limited
Sema was given twice per week for 20 weeks, starting on Day 0 of the study at 10 g/kg, and no titration of Sema was given due to the low dose regimen
If bubbles form despite careful handling, let the vial sit upright in the refrigerator for 30 minutes and they will rise to the surface and dissipate
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