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All procedures were performed according to ethical protocols approved by the ethics committee of North Rhine-Westphalia

Harman SM, Metter EJ, Tobin JD, et al

Skincare measures that may be beneficial include: Regular moisturising with emollients to maintain skin barrier function Gentle massage of affected areas may offer temporary cosmetic benefit, though evidence for long-term effects is limited Sun protection (SPF 30 or higher) to prevent further collagen damage Gradual, sustainable weight loss when possible When using Ozempic, remember to rotate injection sites to avoid lipohypertrophy (fatty lumps) or skin irritation, as recommended in the product information

While heart palpitations are not a common side effect, awareness and monitoring are important

Plunger is between the 12th and 13th hundredth-marker lines