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If you frequently skip your dose or treat your dosing schedule as a suggestion rather than a mandate, it may lower the stable amount of the medication in your system

The main concerns are local injection reactions, infection risk if sterility is breached, and misuse (e.g

Kim M, Platt MJ, Shibasaki T, Quaggin SE, Backx PH, Seino S et al (2013)

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However, in agreement with a causal role of moderately elevated circulating homocysteine levels in cardiovascular disease, some putative mechanisms have been identified that may explain the atherothrombogenicity of hyperhomo- cysteinemia