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There's no controlled research establishing that dose or frequency changes the likelihood of this reported effect, but the most consistently recommended practical step across community discussion is starting at a reduced frequency, two to three times a week rather than daily, for the first couple of weeks, then building up gradually

Monitor for Side Effects: Side effects are generally minimal, but you might experience mild redness, swelling, or tenderness at the injection site

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The bruising she had been warned about did not really show up

Also alcohol csn give fatigue as affects blood sugar levels