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Missing doses, inconsistent injection timing, or improper storage may compromise drug stability and therapeutic levels

Mechanistically, GLP-1 receptor agonists have demonstrated anti-inflammatory properties in preclinical models through multiple pathways

Schaumburg et al., Sensory Neuropathy from Pyridoxine Abuse, N

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If muscle symptoms are severe or persistent despite these interventions, clinicians should consider laboratory evaluation including creatine kinase, comprehensive metabolic panel with separate magnesium and calcium testing, thyroid function tests, vitamin D levels, and vitamin B12 levels to exclude alternative diagnoses