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Use grippers or therapy putty, starting with low resistance and higher repetitions before progressing to higher resistance

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Protocols describe either using a 3mL syringe with a fine gauge needle or splitting into two 1mL injections at different sites

two published tirzepatide case series (Naranjo "probable"), FAERS reporting odds ratio 22.55 for allodynia across GLP-1 with tirzepatides neuro-AE proportion lower than semaglutides, class cohort signal (aHR 2.15) in related agents