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If you've been trained by your health care practitioner to administer a second dose using a second pen, select a different injection site, at least one inch or 2.5 centimeters away from the first injection site

Musculoskeletal symptoms, including chest pain, fibrositis, and rheumatoid arthritis, occur in one-quarter of patients(50), and of course, any of the musculoskeletal symptoms of hypothyroidism may likewise occur

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