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Turkovic, DS Rokotov, L

These can include: Nausea, Vomiting, Diarrhea, Stomach upset or pain, Bloating, Headache, Skin rash or allergic reactions (itching, hives, swelling), Fatigue

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Additional pain-reduction strategies: Apply a cold pack (not ice directly) to the injection site for 30-60 seconds before injection to provide temporary numbing Use distraction techniques such as coughing during needle insertion Practice relaxation breathing to reduce anxiety and muscle tension Consider topical anaesthetic cream (discuss with GP) for particularly needle-phobic patients Maintain consistent injection timing to establish routine and reduce anticipatory anxiety Systematic site rotation is crucialusing the same location repeatedly increases the risk of lipohypertrophy, which can affect medication absorption and cause discomfort

Horie, T., Awazu, S., Itakura, Y

Vitamins may not necessarily worsen diverticulitis, but rather, they can lead to additional gastrointestinal issues, and nobody wants to deal with that