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This pattern typically relates to ongoing digestion preventing entry into deep sleep stages, undiagnosed or undertreated sleep apnea, or the metabolic transition that occurs during the first weeks of treatment

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If you have diabetes, neuropathy, or impaired sensation in your thighs, discuss injection site selection with your care team before beginning treatment

For most patients, these effects are mild and resolve over time

There are many over-the-counter treatment options, such as biotin supplements, but the most powerful and effective treatments are those prescribed or performed by an expert, board-certified dermatologist, such as Dr