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The standard protocol begins with 0.25 mg once weekly for four weeks, increasing to 0.5 mg, with further increases to 1 mg or 2 mg only if needed and tolerated

Look for these warning signs: Cloudiness where the solution was previously clear indicates protein aggregation or contamination Floating particles suggest precipitation, contamination, or degradation Color change from clear to yellow or amber indicates chemical breakdown Unusual smell when drawing from the vial suggests bacterial contamination Foam that does not dissipate after gentle swirling may indicate denatured protein If you observe any of these signs, do not use the solution

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Sikiric P, Marovic A, Matoz W, Anic T, Buljat G, Mikus D, et al