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Avoid shaving directly at injection sites on injection day, as micro-abrasions from shaving can amplify the skin response to the injection

Qualifying comorbidities include hypertension, type 2 diabetes, obstructive sleep apnea, cardiovascular disease, or dyslipidemia

Hyperinsulinemia in obesity can suppress SHBG and reduce gonadotropin release

Even non-diabetic patients may experience dizziness, confusion, or shakiness from this glucose-lowering effect, particularly in the evening or overnight hours following alcohol consumption

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