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Patients should avoid injecting into affected areas until evaluated by a healthcare provider

If you are uncertain (the fridge was very cold but you did not observe ice), the conservative approach is still to discard, but you can also perform a visual inspection after the vial reaches room temperature

In addition to protein-energy malnutrition, specific micronutrient deficiencies (e.g., zinc, magnesium, iodine and Vitamin B6) in SAM, also contribute to growth faltering by hampering the insulin-like growth factor (IGF) complex, which controls healthy growth and repair of tissues [56, 57]

If you injected on Monday (day 1) and Thursday (day 4), your next injection cycle starts the following Monday