My exact rotation protocol is as follows: Divide injection zones into quadrants: abdomen (four sections), outer thighs (two zones per leg), upper glutes (two zones per side) Space injections 1-2 cm apart within each quadrant (based on clinical evidence) Rotate to different quadrant each injection using weekly schedule Never inject into lumpy, hard, scarred, or discolored tissue Data shows people who dont rotate injection sites properly have lipohypertrophy rates over 80%, while those who frequently rotate sites see rates around 25-30%
While the therapeutic effect is quick, frequent dosing is needed and there is potential for a quick relapse and rebound of psoriasis (Table 1)
Fuller R (2009) Lead exposures from car batteriesa global problem
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