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A flowchart detailing an optimized pathway for referral of patients with diabetes is shown in Fig

Side effects are rare but may include mild discomfort at the injection site, nausea, or digestive upset

A commonly used protocol involves administration five times per week for approximately eight weeks, followed by a two-week break before repeating the cycle, if appropriate

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Before After Procedure Description 58 year old female, with left facial palsy with paralytic lagophthalmos, with left upper eyelid gold, with eyes open and closed, showing the gold weight is not visible but it is doing its job to make the left eye close better