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Do not use the pen beyond those 4 doses, and never share it with anyone else, even if you change the needle

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Local injection site reactions are the most common form of hypersensitivity and may include: Erythema, swelling, or induration at the injection site Pruritus or burning sensation localized to the area Persistent pain or tenderness beyond typical injection discomfort Development of nodules or persistent lumps These reactions typically occur within hours to days of injection and may resolve spontaneously, though persistent or worsening symptoms warrant medical evaluation

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The FDA Establishment Registration and Device Listing database, along with the FDA warning letters database and the FDA recall database, are publicly accessible resources