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Only accredited pharmacies in Canada, the United Kingdom, or the U.S

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When to discard without question Throw it away if: The solution is cloudy, discolored, or contains particles The medication was exposed to temperatures above 86 degrees Fahrenheit The medication was frozen at any point The total time at room temperature exceeds 21 days (for brand-name products) You are uncertain about the conditions and cannot verify them The cost of a replacement pen is always less than the cost of injecting degraded medication

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Best to keep alcohol intake to a minimum due to its ability to cause blood sugar fluctuations, which can cause hypoglycemia