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doi: 10.1016/S0140-6736(87)91194-9 22 HolstJJ

It is an exceptional pathway for individuals sensitive to standard medication side effects, patients managing autoimmune conditions like Hashimotos or PCOS, or those looking to maintain prior weight loss long-term

Using the same spot repeatedly can cause lipohypertrophy (hardened areas under the skin) that impair absorption

But working closely with a dietitian or nutritionist can help

Potential side effects are minimal and temporary, including slight redness or minor swelling in the treatment area, which usually resolves quickly

He was rapidly titrated up to 4 g daily of acetazolamide and 20 mg of furosemide, but was deemed not to be a good surgical candidate for ventriculoperitoneal shunting or optic nerve sheath fenestration
