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doi:10.1016/S0140-6736(18)32590-X Zhang W, Liu Y, Ge M

Inspect the pen and ensure the solution is clear and colourless Prime the pen on first use until a drop appears Dial the required dose (clicks) Apply to clean skin (abdomen or thigh) Hold in place for 6 seconds Replace the cap and store properly 12 clicks = 5 mg Use once daily Typically used for up to 20 consecutive days Follow with a 2-week break before restarting Adjust under professional guidance Approximately 20 doses per pen (based on 5 mg daily use)

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Check the expiry date printed on the pen and carton