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Consider specialist referral to endocrinology for patients with advanced chronic kidney disease, prior pancreatitis, severe gastrointestinal disease or gastroparesis, refractory adverse effects, complex medication regimens, or diagnostic uncertainty
N Eng J Med 1988
N, 6.86
At minimum: baseline IGF-1, fasting glucose, HbA1c, comprehensive metabolic panel, and a full hormone panel
Use short, fine needles and rotate sites between the abdomen, outer thigh, and upper arm to reduce local irritation
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