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Document your injection site in a notebook or phone reminder to ensure you rotate properly each week and never inject into areas of existing lumps or scar tissue

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Management Decision Empiric therapy initiated: Piperacillintazobactam 4.5 g IV q6h + Azithromycin 500 mg IV q24h (Alternative: Cefepime 2 g IV q8h + Levofloxacin 750 mg IV q24h) Cultures were obtained before starting antibiotics to allow de-escalation once results are available

It slows gastric emptying, reduces appetite at the hypothalamic level, and improves insulin sensitivity