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In some cases, improper injection technique can lead to Shoulder Injury Related to Vaccine Administration (SIRVA) a recognized medical condition that can cause long-term inflammation, tissue damage, and loss of shoulder function

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8 If rapid and dramatic glycemic control on GLP-1RAs is the underlying mechanism of the association with DR, this phenomenon has already been described in the literature in association with insulin use

doi: 10.1111/j.1574-6941.2011.01120.x, 3 BiagiE.FranceschiC.RampelliS.SevergniniM.OstanR.TurroniS.et al