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Postoperative PET-CT indicated postsurgical changes in the right upper cervical region with F-18 fluorodeoxyglucose (FDG)-avid, heterogeneous, asymmetric thickening of the anterior aspect of the right sternocleidomastoid muscle and was negative for hypermetabolic lymphadenopathy (Figure 2)

Antidepressants such as duloxetine or amitriptyline may be considered after discussion of benefits and harms

Enzyme stimulation

After reconstitution with bacteriostatic water, the solution remains stable for approximately 28 days when refrigerated

Always use a new sterile needle for each injection

The transition also ensures you are using a medication that is recognized for its long-term benefits in managing obesity, alongside a reduced-calorie diet and physical activity