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The downside of compounded medication when coming from an unknown source is that they may be unsafe, untested, or even fake
Conversely, evening or bedtime administration may benefit some patients who find that sleeping through the initial hours after injection helps them avoid or minimize awareness of nausea
Patients typically start at injecting 1ml IM or SQ one to two times per week, and can titrate up or down by 0.5ml per dose depending on effectiveness and side effects
Patients should be counseled on maintaining adequate hydration and balanced nutrition despite reduced appetite
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