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It should be emphasized that during corticosteroid therapy prolonged for more than 2 weeks, there is a risk of developing adrenocortical insufficiency, which is manifested by the inhibition of ACTH secretion and adrenal atrophy

Attach a new needle and, if it is a new pen, perform the flow check (priming) per the instructions

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Therefore , taking a medical approach is often the most effective way to achieve permanent change