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limited clinical data Management: Monitor thyroid function if symptoms of hypothyroidism develop Chemotherapy Agents: Conflicting evidence on interaction with chemotherapy Concern: Taxanes (paclitaxel, docetaxel): Some evidence suggests ALC may worsen CIPN when used during chemotherapy may consider after completion of treatment for established neuropathy Recommendation: Avoid ALC during active chemotherapy

Rotate injection sites systematically (abdomen at least 2 inches from navel, outer thighs, back of upper arms) to reduce soreness and prevent lipohypertrophy

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The Transportation Security Administration (TSA) allows medically necessary liquids and cooling accessories through security checkpoints, though you should declare these items during screening

Remove all jewelry, including body piercings