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Nausea, diarrhea and vomiting were most common, and about one in five patients reported mild dysesthesia

Many patients transition to a lower maintenance dose over time

van Raalte DH, Bjornstad P, Cherney DZ, de Boer IH, Fioretto P, Gordin D, et al
Discarding insulin with flocculation helps prevent administering compromised insulin and maintains proper glycemic control

"Report on envenomation by a Gila monster (Heloderma suspectum) with a discussion of venom apparatus, clinical findings, and treatment"