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Before escalating laxative use, discuss with your provider whether a temporary dose reduction, slower titration schedule, or medication switch could reduce constipation while maintaining efficacy for appetite and blood sugar control

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If you have had black stool for a long duration, observe liver flukes in stool, or notice blood clots in the stool, then consult a doctor

Sterile equipment does not create a sterile process by itself# A new syringe and an unopened alcohol pad are useful, but sterility can still be lost through hands, surfaces, reused needles, a wet vial stopper, or a needle touching an unclean object