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It's supposed to create more drastic weight loss and, at least on Reddit, people are talking about getting it online from China and microdosing it

Diabetes Care (2013) 36 Suppl 2:S24552

These conditions require standard doses for effective management

Mitigation strategies include frequent glucose monitoring when changes are made to insulin dosage, oral hypoglycemic medications, meal patterns, physical activity, and in cases of renal or hepatic impairment or hypoglycemia unawareness, with consideration for dose reduction

younger age, frailty, limited life expectancy, cognitive impairment, social determinants of health)

PG-P: Writing original draft