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Decision framework Factor 1: Your highest planned weekly dose must fit in a single syringe draw

For the general patient population, this has no clinical relevance

Case reports have documented Lactobacillus bacteremia and Saccharomyces fungemia in vulnerable populations, with the latter particularly associated with central venous catheter use, though incidence remains extremely low

Diabetic retinopathy Retinal complications such as blindness and vitreous hemorrhage have been reported in rare cases and are linked with insulin co-administration

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