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When theres more stuff in your blood in this case sugar and you suddenly reduce the amount of stuff in the blood, it causes rapid shifts in fluid between blood vessels and cells in the eye, he said

doi: 10.1111/j.1743-6109.2005.20110.x

After four weeks, this dose is increased to 0.5 mg weekly and then further increased by increments of 0.51 mg each month for two months until the maintenance dose of 2.4 mg per week is reached, which can be divided into smaller doses if desired or as directed by a healthcare professional

As with any injection, the physician should first aspirate to ensure that the needle is not in a blood vessel