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This scenario highlights a useful handoff: symptoms first, then context, then targeted labs

The most common reasons for resistance to initiate insulin were restrictiveness (insulin therapy would restrict my life), low self-efficacy (I am not confident I could handle the demands of insulin therapy), personal failure (insulin therapy would mean I had failed) and permanence (once you start insulin you can never quit) [13]

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The FDA states these salt forms are different active ingredients than the base form used in approved drugs and is not aware of any lawful basis for their use in compounding