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Patients should contact their healthcare provider if they experience: Concerns about whether they received the full dose (e.g., if the pen was removed before the second click or before counting to 10) Unexpected changes in blood glucose control or weight loss trajectory Severe or persistent injection site reactions Signs of allergic reaction (rash, hives, swelling of face/throat, difficulty breathing) Severe abdominal pain (which could indicate pancreatitis) [14] [6] Any unusual symptoms following injection Healthcare providers should reinforce proper injection technique during follow-up visits, particularly during the first few months of therapy

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