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At the time of this report, the authors are not aware of any spontaneous BGH with contralateral involvement secondary to communication via the AC
PubMed Jett L, Lger R, Thibaudeau K, et al
The propionyl-L-carnitine hypothesis: an alternative approach to investigating heart [PMID: 9330130] Laboratory literature summary: The propionyl-L-carnitine hypothesis: an alternative approach to investigating heart failure
The clinical consensus is that if semaglutide alone isn't working, dose escalation or genetic testing to find alternative compounds (such as tirzepatide) is safer than adding a second drug class
Self-injection in this location may result in improper technique or inadvertent intramuscular injection if adequate subcutaneous tissue is not accessed
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