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It introduces uncertainty about what you are actually injecting

These associations were also robust to different methods and evident for acetyl-carnitine

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To prepare your injection: Check your specific pen instructions in the Patient Information Leaflet (PIL) Attach a new pen needle for each injection, following the manufacturer's instructions Prime the pen if required by your specific product (usually for the first use or if the pen hasn't been used recently) by following the PIL instructions For dose-selector pens, select your prescribed dose by turning the dose selector until the correct number appears in the window Choose an injection site on your abdomen, thigh, or upper arm (some injections in the upper arm may require assistance), rotating sites to prevent lipohypertrophy During injection , insert the needle at a 90-degree angle into pinched skin (or as instructed), press the injection button fully, and hold for the time recommended in your PIL (this varies by product)