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Could injection day be the cause

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[DOI] [PubMed] [Google Scholar] 18.Friedman S.L., Neuschwander-Tetri B.A., Rinella M., Sanyal A.J

Typical injection site reactions include: Mild erythema (redness) Usually resolves within 24-48 hours Transient pain or tenderness Most common immediately after injection Pruritus (itching) Typically mild and self-limiting Induration or swelling May indicate improper injection depth These local reactions are generally related to injection technique, inadequate site rotation, or individual tissue sensitivity