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If symptoms worsen or new ones appear, re-evaluate (e.g., neurological exam, additional testing)

Obtaining injections outside regulated NHS settings may involve inappropriate dosing, lack of monitoring, non-sterile technique, and unnecessary financial cost without clinical benefit

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Self-administration can carry risks such as infection, allergic reactions, improper dosing, pain, bruising, and unexpected side effects

The goal is the minimum effective dose, not the maximum tolerable dose
