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Dietary deficiency can be treated with tablets
Begin a daily non-sedating antihistamine
Combined sequential therapy has become more common in real-world medical practice
Quick Reference: Injection site reactions: 15-25% (mild, resolve in 2-24 hours) Nausea: 5-10% (transient, first week) Dizziness: 3-7% (occasional, brief) Serious events: Zero documented in 100+ animal studies Typical dose: 250-500 mcg/day SubQ
This medication carries a boxed warning for risk of thyroid C-cell tumors and is contraindicated in patients with personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
