Patients should be counseled never to administer extra doses to make up for missed doses, as this could increase the risk of adverse effects without providing additional therapeutic benefit
Frequent temperature fluctuations-such as repeatedly moving them in and out of the fridge-can destabilize the vitamin, potentially reducing its effectiveness
Med spas can support ongoing maintenance injections under medical supervision, but elective wellness use should involve informed consent, screening, and clear communication between providers to avoid duplicate or unnecessary treatment
However, we understand that ASCs may have less experience integrating surveys into clinical workflows, so it may still be difficult for ASCs to implement this measure
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