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Some practical considerations: Evening injection some patients prefer injecting in the evening so they can sleep through any initial side effects like nausea Consistency matters most choosing the same day and roughly the same time each week helps maintain stable drug levels Injection sites abdomen, thigh, or upper arm, with rotation between sites to reduce injection-site reactions What about non-standard intervals (every 5 days)

This can lead to a more favorable body composition, even if the number on the scale doesnt drastically change

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Be sure to allow your shot to come to room temperature prior to injection to minimize sting, and always rub the injection site with two fingers and good pressure directly after injection

OCTN2-deficiency is the same as primary systemic carnitine deficiency and is discussed in the next section about carnitine deficiency