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Acknowledgments We thank Home for Researchers (www.home-for-researchers.com) and Grammarly ( for their help with language

Track the following with each injection: Date and time of injection Injection site (specific location, e.g., left abdomen, 3 inches from navel) Dose Medication temperature (did you warm it to room temperature?) Reaction type (redness, itch, swelling, bruise, lump, pain) Reaction severity (1 to 10 scale) Reaction duration (hours or days until resolution) Treatment used Treatment effectiveness After several weeks of tracking, patterns emerge

The 4-weeks-per-step schedule is a minimum, not a maximum

Any adjustment is made only by your licensed provider, based on how you feel and what you and your provider decide together

Despite ongoing litigation, Eli Lilly and Novo Nordisk continue to make, market and sell the drugs to patients and physicians without providing adequate warnings