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After incubation and washing to remove unbound components, a biotin-labeled antigen is added, forming a sandwich complex
However, the FDA recommends that treatment should be stopped if a patient cannot tolerate the 3 mg dose because lower doses (0.6, 1.2, 1.8, and 2.4 mg) have not been shown to be effective

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After another 4 weeks, they may increase your dose again, depending on your blood sugar levels

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